Reinus W R, Shady K
Department of Radiology, Jewish Hospital, Washington University Medical Center, St Louis, Missouri 63110.
J Clin Ultrasound. 1994 Jan;22(1):17-20. doi: 10.1002/jcu.1870220105.
We studied the use of gallbladder ultrasonography in the evaluation of atypical chest pain (ACP). During an 8-month period, 52 patients were referred for biliary ultrasonography with a chief complaint of chest pain. Twelve (32.1%) had cholelithiasis discovered by ultrasonography. Four of these 12 (33.3%) underwent subsequent cholecystectomy with complete relief of symptoms. None of the patients with normal ultrasonography for whom follow-up was available (32) underwent subsequent cholecystectomy. We found no statistical difference in the prevalence of cholelithiasis between the ACP group and 85 asymptomatic controls. Clinical evidence confirms the concept that ultrasonography may play an important role in the evaluation of ACP.
我们研究了胆囊超声检查在非典型胸痛（ACP）评估中的应用。在8个月的时间里，52例以胸痛为主诉的患者被转诊进行胆道超声检查。其中12例（32.1%）经超声检查发现有胆结石。这12例中的4例（33.3%）随后接受了胆囊切除术，症状完全缓解。超声检查正常且有随访记录的患者（32例）均未接受后续胆囊切除术。我们发现ACP组与85例无症状对照者之间胆结石的患病率无统计学差异。临床证据证实了超声检查可能在ACP评估中发挥重要作用这一观点。
