Nieves M A, Bueno J, Gaona Yánez C, Mercedes González M
G E N. 1989 Jan-Mar;43(1):13-7.
Gallbladder motor function moderates the enterohepatic circulation which is determinant in bile composition. Cholelithiasis due to cholesterol stones increases with age and is more frequent in women. We studied the effects of age and sex on the gallbladder volume and contraction in 160 healthy subjects. We used real time ultrasonography and the elipsoid method to calculate the volume and gallbladder contraction which was physiologically stimulated by a fatty meal. The results of the gallbladder contraction were: Group 1 female (young women): 82.2% (SD = 12.1), Group 1 male (young men): 86.0% (SD = 9.9), Group 2 female (adult women): 77.4% (SD = 9.4): Group 2 male (adult men): 75.8% (SD = 15.9); Group 3 female (elderly women): 83.6% (SD = 9.0) and Group 3 male elderly men): 77.3% (SD = 10.2). The fasting and postprandial volumes correlates directly with the age in both sexes. These differences were not statistically significant and we concluded that in absence of gallbladder pathology, the motor function of the gallbladder is not significantly modified by age and sex.
胆囊运动功能调节肠肝循环,而肠肝循环对胆汁成分起决定性作用。胆固醇结石所致胆石症随年龄增长而增加,且在女性中更为常见。我们研究了年龄和性别对160名健康受试者胆囊容积及收缩功能的影响。我们采用实时超声检查和椭球体法计算胆囊容积以及由脂肪餐生理性刺激引起的胆囊收缩功能。胆囊收缩结果如下:第1组女性(年轻女性):82.2%(标准差=12.1),第1组男性(年轻男性):86.0%(标准差=9.9),第2组女性(成年女性):77.4%(标准差=9.4),第2组男性(成年男性):75.8%(标准差=15.9);第3组女性(老年女性):83.6%(标准差=9.0),第3组男性(老年男性):77.3%(标准差=10.2)。空腹和餐后胆囊容积在两性中均与年龄直接相关。这些差异无统计学意义,我们得出结论,在无胆囊病变的情况下,年龄和性别对胆囊运动功能无显著影响。