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Sonographic Evaluation of Gallbladder Size and Contractility in Normal Subjects 正常人胆囊大小和收缩性的超声评价
Q4 Medicine Pub Date : 1989-12-01 DOI: 10.6557/GJTA.198912_6(4).0001
Sheng‐Hsuan Chen, S. Pan
A simple and practical method of planimetry of the real-time sonographic unit was used to evaluate the fasting gallbladder size and its contractility. The results were compared to analyse the correlation between sex, age, height and weight. Forty-six healthy subjects entered this study, including 27 males (aged22-32 years) and 19 females (aged 19-36 years). After overnight fasting, the gallbladder area was 11.4±0.6 cm^2 in males and 9.0±0.6 cm^2 in females (P<0.05). There were no correlation between the area and age, height or weight. The gallbladder size decreased 34.1±1.8% at 30 minutes and 47.4±2.2% at 45 minutes postprandially; there was no significant difference between males and females. Gallbladder contractility appeared to be independent of the fasting gallbladder size and the height or weight of the subject.
采用一种简单实用的实时超声仪测量空腹胆囊大小及收缩力的方法。研究人员对研究结果进行了比较,分析了性别、年龄、身高和体重之间的相关性。健康受试者46例,其中男性27例(22-32岁),女性19例(19-36岁)。禁食过夜后,男性胆囊面积为11.4±0.6 cm^2,女性为9.0±0.6 cm^2 (P<0.05)。该区域与年龄、身高或体重之间没有相关性。餐后30分钟胆囊体积减小34.1±1.8%,45分钟胆囊体积减小47.4±2.2%;男性和女性之间无显著差异。胆囊收缩力似乎与禁食胆囊大小和受试者的身高或体重无关。
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引用次数: 0
Muscle cramps in liver cirrhosis 肝硬化引起肌肉痉挛
Q4 Medicine Pub Date : 1989-09-01 DOI: 10.6557/GJTA.198909_6(3).0003
Y. Chao, F. Lee, Y. Tsai, Hanyang Lin, Ting Chang, Sung-Sang Wang, Jaw‐Ching Wu, K. Lai, Shou-Dong Lee, K. Lo
A high incidence (64%) of muscle cramps was found in 112 cirrhotic patients, as compared with 17% in 169 hepatitis B surface antigen (HBsAg) negative healthy persons, 8% in 13 asymptomatic HBsAg carriers, 8% in 12 patients with acute hepatitis, and 28% in 25 patients with chronic hepatitis. The cramps were characterized by severe pain with more than one episode per week which occurred mainly during sleep in the lower extremities and lasted for few minutes. Besides the use of diuretics and the presence of peripheral edema, no definite etiologic factors could be found. The underlying pathophysiology of muscle cramps in patients with chronic liver disease remains obscure. However, the strikingly high incidence of muscle cramps could be recognized as a symptom of cirrhosis.
112例肝硬化患者肌肉痉挛发生率高(64%),而169例乙型肝炎表面抗原(HBsAg)阴性的健康人肌肉痉挛发生率为17%,13例无症状HBsAg携带者为8%,12例急性肝炎患者为8%,25例慢性肝炎患者为28%。痉挛的特点是剧烈疼痛,每周发作一次以上,主要发生在下肢睡眠时,持续几分钟。除了使用利尿剂和周围水肿外,没有明确的病因。慢性肝病患者肌肉痉挛的潜在病理生理学仍不清楚。然而,高发生率的肌肉痉挛可能被认为是肝硬化的症状。
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引用次数: 8
Ultrasonographic Appraisal of the Surfach Changes of the Liver: Its Accuracy and Value in the Diagnosis of Liver Cirrhosis 超声对肝脏表面变化的评价:在肝硬化诊断中的准确性和价值
Q4 Medicine Pub Date : 1986-09-01 DOI: 10.6557/GJTA.198609_3(3).0001
Pei-Ming Yang, J. Sheu, Guan-Tarn Huang, M. Lai, Jaw-Town Lin, Cha‐Ze Lee, I. Su, H. Hsu, Chue-shue Lee, Wei Tc, Ding‐Shinn Chen, Teh‐Hong Wang, J. Sung
爲了瞭解超音波掃描術偵測肝表面變化之準確性,我們收集67位在本院接受過剖腹手術或腹腔鏡檢查之病患,研究其術前超音波所示肝左葉表面圖像與肉眼所見變化加以比較。肝硬化病人有32位,29位為粗結節型(其中僅22位之表面呈現明顯結節狀),另外3位屬細結節型。超音波掃描顯示結節狀肝表面圖像於20位粗結節型患者;3位細結節型皆僅呈現不規則之表面。非肝硬化者35位,絕大多數超音波圖像顯示平滑肝表面。但有2位亞大塊性壞死之病患,呈現結節狀之表面。我們再加上327例祇接受過肝穿刺而其診斷無疑問者(54例肝硬化,273例無硬化),研究其超音波圖片所示之左葉肝表面,以結節狀肝表面爲診斷肝硬化之標準,則整體之敏感度爲73.3%,特異性為98.9%,陽性及陰性預測率分別為95.5%及93.2%。我們認爲超音波所顯示左葉肝表面之變化與肉眼所見者大致能符合,惟因種種原因,仍須加上其他判斷要件,才能提高超音波診斷肝硬化之準確性。因超音波所示肝表面變化之判斷較為客觀,值得加以重視,以彌補主觀判斷之缺失。
为了了解超音波扫描术侦测肝表面变化之准确性,我们收集67位在本院接受过剖腹手术或腹腔镜检查之病患,研究其术前超音波所示肝左叶表面图像与肉眼所见变化加以比较。肝硬化病人有32位,29位为粗结节型(其中仅22位之表面呈现明显结节状),另外3位属细结节型。超音波扫描显示结节状肝表面图像于20位粗结节型患者;3位细结节型皆仅呈现不规则之表面。非肝硬化者35位,绝大多数超音波图像显示平滑肝表面。但有2位亚大块性坏死之病患,呈现结节状之表面。我们再加上327例祇接受过肝穿刺而其诊断无疑问者(54例肝硬化,273例无硬化),研究其超音波图片所示之左叶肝表面,以结节状肝表面为诊断肝硬化之标准,则整体之敏感度为73.3%,特异性为98.9%,阳性及阴性预测率分别为95.5%及93.2%。我们认为超音波所显示左叶肝表面之变化与肉眼所见者大致能符合,惟因种种原因,仍须加上其他判断要件,才能提高超音波诊断肝硬化之准确性。因超音波所示肝表面变化之判断较为客观,值得加以重视,以弥补主观判断之缺失。
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引用次数: 2
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胃肠病学
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