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目的探讨容积探头三维超声成像技术评价糖尿病(DM)患者胆囊排空功能的临床应用及DM血中同型半胱氨酸(Hcy)水平与胆囊排空功能(GBEF)改变间关系。方法收集23例DM患者及20例正常对照组。利用容积探头三维超声采集各组胆囊最大斜径图像并储存,用定量测量QLAB软件处理,计算胆囊容积及排空率。结果 DM1组胆囊排空率明显低于正常对照组及DM2组,差异均有统计学意义(P均<0.01);DM2组与正常对照组相比较,无显著性差异。多元线性回归分析显示,与胆囊排空率减低相关性较强指标依次为Hcy、HbA1c、FBG。结论 DM伴hHcy易患胆囊排空障碍,容积探头三维超声成像技术能方便、准确检测出,对临床诊断治疗有重要意义。
Objective To investigate the clinical application of volumetric probe three-dimensional ultrasound imaging in the evaluation of gallbladder emptying in diabetic patients and the relationship between the level of homocysteine (Hcy) and the change of gallbladder emptying function (GBEF) in DM patients. Methods Twenty-three DM patients and 20 normal controls were collected. Using the volumetric probe three-dimensional ultrasound acquisition of each group of maximum oblique diameter gallbladder images and stored quantitative QLAB software processing to calculate the gallbladder volume and emptying rate. Results The gallbladder emptying rate in DM1 group was significantly lower than that in normal control group and DM2 group (all P <0.01). There was no significant difference between DM2 group and normal control group. Multivariate linear regression analysis showed that, with the decrease of gallbladder emptying rate were Hcy, HbA1c and FBG. Conclusion DM with hHcy susceptible to gallbladder emptying obstacles, volume probe three-dimensional ultrasound imaging technology can be easily and accurately detected, for clinical diagnosis and treatment is of great significance.