[1]吕茵,胡亦懿,周围,等. 胆囊切除术后胆总管扩张及未扩张患者胆汁动力学特征比较[J].中国医学物理学杂志,2019,36(5):563-567.[doi:DOI:10.3969/j.issn.1005-202X.2019.05.013]
　LÜ,Yin,HU Yiyi,et al. Comparison of bile dynamic characteristics between patients with or without choledochal dilatation after cholecystectomy[J].Chinese Journal of Medical Physics,2019,36(5):563-567.[doi:DOI:10.3969/j.issn.1005-202X.2019.05.013]
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 胆囊切除术后胆总管扩张及未扩张患者胆汁动力学特征比较()
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《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]

卷:
36卷
期数:
2019年第5期
页码:
563-567
栏目:
医学影像物理
出版日期:
2019-05-25

文章信息/Info

Title:
 Comparison of bile dynamic characteristics between patients with or without choledochal dilatation after cholecystectomy
文章编号:
R657.4；R35
作者:
 吕茵1; 胡亦懿2; 周围1; 李凤棉1; 胡元元1; 潘立群1; 王成1
 1.南方医科大学顺德医院/佛山市顺德区第一人民医院核医学科， 广东 佛山 528300； 2.南方医科大学顺德医院/佛山市顺德区第一人民医院高级诊疗区， 广东 佛山 528300
Author(s):
 LÜ Yin1;  HU Yiyi2;  ZHOU Wei1;  LI Fengmian1;  HU Yuanyuan1;  PAN Liqun1;  WANG Cheng1
 1. Department of Nuclear Medicine, the First People’s Hospital of Shunde, Shunde Hospital of Southern Medical University, Foshan 528300, China; 2. VIP Area, the First People’s Hospital of Shunde, Shunde Hospital of Southern Medical University, Foshan 528300, China
关键词:
 ; 肝胆动态显像; 胆囊切除术; 胆总管扩张; 胆汁动力学
Keywords:
 ; Keywords: hepatobiliary dynamic imaging;  cholecystectomy;  choledochal dilatation;  biliary dynamics
分类号:
R657.4；R35
DOI:
DOI:10.3969/j.issn.1005-202X.2019.05.013
文献标志码:
A
摘要:
 目的：运用放射性核素肝胆动态显像研究胆囊切除术后胆总管扩张和未扩张患者胆汁动力学特征。方法：回顾性分析南方医科大学顺德医院（佛山市顺德区第一人民医院）34例胆囊切除术后接受肝胆动态检查患者的临床资料，其中22例术后有胆总管扩张，为扩张组；12例术后未发生扩张，为无扩张组。另纳入12例体检健康未行胆囊切除者为对照组。术后采用肝胆动态核素显像技术记录3组研究对象胆汁动力学指标。比较胆总管扩张不同严重程度患者胆汁动力学指标水平。结果：3组研究对象肝脏高峰显影时间和半排时间比较，差异无统计学意义（P>0.05）。扩张组患者胆总管显影高峰所需时间和胆总管半排时间分别为（43.87±12.46） min和（29.32±5.66） min，显著长于无扩张组和对照组，差异有统计学意义（P<0.05）。扩张组患者十二指肠开始显影时间和肝门至十二指肠通过的时间显著长于无扩张组和对照组，差异有统计学意义（P<0.05）。胆总管扩张不同严重程度患者总管显影高峰所需时间、胆总管半排时间、十二指肠开始显影时间和肝门至十二指肠通过的时间比较，差异有统计学意义（P<0.05）。结论：胆囊切除术后胆总管扩张程度与胆汁动力学关系密切，监测胆汁动力学有助于判断胆总管扩张严重程度，指导临床。
Abstract:
 Abstract: Objective To apply radionuclide hepatobiliary dynamic imaging for studying the bile dynamic characteristics in patients with choledochal dilatation and non-dilatation after cholecystectomy. Methods The clinical data of 34 patients receiving hepatobiliary dynamic examination after cholecystectomy in the First People’s Hospital of Shunde, Shunde Hospital of Southern Medical University, were retrospectively analyzed. Among the 34 cases, 22 cases with choledochal dilatation after cholecystectomy were taken as dilatation group, while the other cases without choledochal dilatation after cholecystectomy were taken as non-dilatation group. Moreover, 12 healthy subjects without undergoing cholecystectomy were selected as control group. The postoperative biliary dynamic parameters in 3 groups were recorded by hepatobiliary dynamic imaging, and the bile dynamic index levels in patients with different degrees of choledochal dilatations were compared. Results No significant difference was found in the peak imaging time and half-time of liver among 3 groups (P>0.05). The time to peak choledochal imaging and the half-time of the common bile duct in dilatation group were (43.87±12.46) and (29.32±5.66) min, respectively, significantly longer than those in non-dilatation group and control group, with statistical differences (P<0.05). The duodenum imaging time and the hepatic to duodenal transit time in dilatation group were significantly longer than those in non-dilatation group and control group, with statistical differences (P<0.05). There were significant differences in time to peak choledochal imaging, the half-time of the common bile duct, duodenum imaging time and the hepatic to duodenal transit time among patients with different degrees of choledochal dilatations, with statistical differences (P<0.05). Conclusion The degree of choledochal dilatation after cholecystectomy is closely related to biliary dynamics. Monitoring biliary dynamics is of great help for determining the severity of choledochal dilatation and guiding clinical practice.

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备注/Memo

备注/Memo:
 【收稿日期】2018-12-17
【基金项目】广东省医学科研基金（B2018114）
【作者简介】吕茵，硕士研究生，主治医师，研究方向：核素显像及治疗，E-mail: lv8yin4@163.com
【通信作者】胡亦懿，副主任医师，研究方向：消化道相关疾病诊治，E-mail: sdhyy@126.com
更新日期/Last Update: 2019-05-23