摘要
目的探讨胆囊结石患者行腹腔镜胆囊切除术(LC)前常规行磁共振胆胰管成像(MRCP)检查的必要性。方法 400例胆囊结石患者LC术前常规行彩超、MRCP检查并于术后结果相对比。结果 185例有胆总管结石高危因素的患者经MRCP检出胆总管结石25例,215例无高危因素患者检出胆总管结石9例,术中胆总管探查阳性率100%,无胆道损伤病例,术后随访最少三个月无因胆总管结石再次入院及死亡病例。结论LC术前常规行MRCP检查是很有必要的,可以减少胆总管结石的漏诊及胆道探查阴性率,减少术中、术后并发症。
[ Objective ] To discuss the necessity of MRCP examination before laparoscopic cholecystectomy （LC） for patients who have eholecystolithiasis. [ Methods ] Before LC, MRCP as an routine examination for 400 choleeys- tolithiasis patients and contrast with the surgery result. [Results] 25 choledocholithiasis patients have been found from the 185 cholecystolithiasis patients who have high risk factors of choledocholithiasis, 9 eholedocholithiasis pa- tients have been found form other 215 patients. The positive rate of intra-operative exploration for bile common duct is 100%. All the patients were followed for at least three months. There was no patient readmitted to hospital be- cause of choledocholithiasis and no death patient. [ Conclusion ] It is necessary to take MRCP as a routine examina- tion before LC, which can avoid missed diagnosis for choledocholithiasis, the negative rate of exploration of the bile common duct, and reduce the complication of LC.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2012年第6期93-95,共3页
China Journal of Modern Medicine
关键词
胆总管结石
胆囊结石
磁共振胆胰管成像
腹腔镜胆总管探查术
choledocholithiasis
cholecystolithiasis
magnetic resonanced cholangio-pancreatography
laparo-scopic common bile duct exploration
