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胆囊造瘘术对胆囊功能的长期影响。

Long-term effects of cholecystostomy on gallbladder function.

作者信息

Krom R A, Pols J, Kingma L M, Te Strake L

出版信息

Neth J Surg. 1984 Oct;36(5):121-3.

PMID:6504382
Abstract

In eight patients without a history of gallbladder disease, cholecystostomy was performed for acute pancreatitis (four patients) and blunt abdominal trauma (four patients). In one case only, acute cholecystitis developed after discontinuation of the cholecystostomy. Six patients were followed for a mean period of 3.9 years, after which the gallbladder function was evaluated. Cholecystography and ultrasonography demonstrated good visualisation of the gallbladder without signs of gallstones. The contraction of the gallbladder produced by cholecystokinin varied. This could be due to adhesions impairing the motility of the gallbladder. After cholecystostomy in a previously normal gallbladder, its function will become normal in most patients. If no signs of gallbladder disease develop within the first year after cholecystostomy, the risk of late complications is minimal.

摘要

在8例无胆囊疾病史的患者中,因急性胰腺炎(4例)和钝性腹部外伤(4例)而行胆囊造瘘术。仅1例在胆囊造瘘术停止后发生急性胆囊炎。6例患者平均随访3.9年,之后评估胆囊功能。胆囊造影和超声检查显示胆囊显影良好,无胆结石迹象。胆囊收缩素引起的胆囊收缩情况各异。这可能是由于粘连影响了胆囊的运动。在先前正常的胆囊行胆囊造瘘术后,大多数患者的胆囊功能将恢复正常。如果在胆囊造瘘术后第一年内未出现胆囊疾病迹象,晚期并发症的风险极小。

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