Sonographic Measurement of the Fasting Gallbladder and Its Contractility in Patients with Chronic Hepatitis B

以超音波評估慢性B型肝炎病患膽囊之大小和收縮能力

陳盛煊(Sheng-Hsuan Chen) ； 潘憲(Shiann Pan) ； 連吉時(Gi-Shih Lien) ； 廖正雄(Chen-Hsuing Liao)

《中華民國消化系醫學會雜誌》 9卷3期 (1992/09) Pp. 199-203

https://doi.org/10.6557/GJTa.199209_9(3).0001

摘要

Upon routine sonographic examination, some patients with chronic hepatitis B were found to have a larger gallbladder. In order to evaluate their gallbladder size and contractility, 45patients with chronic hepatitis B, along with 45 healthy subjects as control, were entered into this study. All 90 subjects were free from factors affecting gallbladder contractility. After overnight fasting, the gallbladder cross-section area was measured by planimetry of real-time sonographic unit. The postprandial gallbladder area was measured by the same method at 30 and 45 minutes. The results showed that the fasting gallbladder size was significantly larger in the patients with chronic hepatitis than in the control group (p＜0.0l). No significant difference of the contractility between these two groups was noted at 30 and 45 minutes after taking a fatty meal, although the gallbladder area decreased significantly with time in both groups (p＜0.001). It seems reasonable to conclude that patietns with chronic hepatitis B probably have a relatively enlarged but functional, contractile gallbladder.

關鍵字

慢性肝炎 ； 膽囊大小 ； 膽囊收縮率

並列摘要

Upon routine sonographic examination, some patients with chronic hepatitis B were found to have a larger gallbladder. In order to evaluate their gallbladder size and contractility, 45patients with chronic hepatitis B, along with 45 healthy subjects as control, were entered into this study. All 90 subjects were free from factors affecting gallbladder contractility. After overnight fasting, the gallbladder cross-section area was measured by planimetry of real-time sonographic unit. The postprandial gallbladder area was measured by the same method at 30 and 45 minutes. The results showed that the fasting gallbladder size was significantly larger in the patients with chronic hepatitis than in the control group (p＜0.0l). No significant difference of the contractility between these two groups was noted at 30 and 45 minutes after taking a fatty meal, although the gallbladder area decreased significantly with time in both groups (p＜0.001). It seems reasonable to conclude that patietns with chronic hepatitis B probably have a relatively enlarged but functional, contractile gallbladder.

並列關鍵字

Chronic hepatitis ； gallbladder size ； gallbladder contractility