Rajagopalan A E, Pickleman J
Arch Surg. 1982 Aug;117(8):1005-8. doi: 10.1001/archsurg.1982.01380320001001.
We carried out a review of 358 patients undergoing cholecystectomy during a seven-year period. Twenty-one patients were found to have classic biliary colic with a normal oral cholecystogram. All patients were female and had symptoms for three to 120 months (mean, 24 months). Cholecystosonography, upper gastrointestinal (GI) tract x-ray series, and infusion tomography of the gallbladder, when performed, were normal. Twelve patients underwent cholecystokinin (CCK) cholecystography. Failure of normal contraction of the gallbladder was noted in all 12. All 21 underwent cholecystectomy; three months postoperatively, all patients were relieved of their pain, and 15 of the 16 available for long-term follow-up (averaging 22 months) were completely cured of their symptoms. We conclude that the young woman with typical biliary colic and a normal oral cholecystogram, gallbladder ultrasound study, and upper GI tract x-ray series should undergo CCK cholecystography. If the results are positive, these patients can be reliably cured by cholecystectomy.
我们对7年间接受胆囊切除术的358例患者进行了回顾性研究。发现21例患者有典型胆绞痛且口服胆囊造影正常。所有患者均为女性，症状持续3至120个月（平均24个月）。进行胆囊超声检查、上消化道（GI）X线系列检查以及胆囊灌注断层扫描时，结果均正常。12例患者接受了胆囊收缩素（CCK）胆囊造影检查。所有12例患者均显示胆囊正常收缩功能丧失。所有21例患者均接受了胆囊切除术；术后3个月，所有患者疼痛缓解，16例可进行长期随访（平均22个月）的患者中有15例症状完全治愈。我们得出结论，患有典型胆绞痛且口服胆囊造影、胆囊超声检查及上消化道X线系列检查均正常的年轻女性应接受CCK胆囊造影检查。如果结果呈阳性，这些患者可通过胆囊切除术得到可靠治愈。
