The Role of Ultrasound in the Diagnosis of Gallstones and Assessment of Gallbladder Function

Doan Van Ngoc, Hoang Dinh Au
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Abstract

A study of 46 patients diagnosed with gallstones by ultrasound, with indications for assessment of gallbladder function to consider percutaneous gallstone lithotripsy at several hospitals in Hanoi from August 2019 to March 2020. Result: mean age 41.76 ± 16.11, common age 30-50. Gallstones are more common in women than in men, with a male/female ratio of 1:1.1. Average BMI accounted for 76.9%; 45.7% of cases had one stone; gravel with size >10 mm accounted for the majority of 76.1%; 89% of stones were mobile, 95.7% of stones were hyperechoic with shadow. Gallbladder contractility index ≥ 40% accounted for 95.7%. The average gallbladder contractility index was 64.2 ± 16.1%, this index in men was 64.6 ± 15.5%, and in women, it was 63.7 ± 16.9%. 95.7% of cases still had gallbladder contractile function. Conclusion: Ultrasound plays an important role and has many advantages in diagnosing gallstones and evaluating gallbladder function before percutaneous gallstone lithotripsy.  
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超声在胆结石诊断及胆囊功能评价中的作用
2019年8月至2020年3月,对河内多家医院46例经超声诊断为胆结石、有胆囊功能评估指征的患者进行研究,考虑经皮胆结石碎石术。结果:平均年龄41.76±16.11岁,多见于30 ~ 50岁。胆结石在女性中比在男性中更常见,男女比例为1:1.1。平均BMI占76.9%;45.7%的患者有一颗结石;粒径bbb10 mm的砾石占多数,为76.1%;89%的结石可移动,95.7%的结石高回声伴阴影。胆囊收缩指数≥40%占95.7%。平均胆囊收缩指数为64.2±16.1%,男性为64.6±15.5%,女性为63.7±16.9%。95.7%的患者仍有胆囊收缩功能。结论:超声在经皮胆结石碎石术前诊断胆结石及评价胆囊功能方面具有重要作用和优势。
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