摘要
目的:探讨腹腔镜选择性术中胆道造影(IOC)在治疗胆石症患者中的临床应用价值。方法:对2009年9月-2012年9月3年间用腹腔镜治疗的196例胆石症患者中92例行术中胆道造影进行回顾性分析。结果:发现胆总管结石13例,胰胆管汇合部畸形4例,胆囊管结石3例,胆囊管开口异常5例,胆道损伤1例,术中给予相应手术处理,术后患者均治愈出院。结论:腹腔镜术中胆道造影能清楚显示胆道树的解剖结构,降低胆道的阴性探查率,及时发现胆道损伤,降低术后胆道残石率,增加手术医生信心,值得临床推广。
Objective： To explore the clinical application value of laparoscopic selective intraoperative cholangiography in the treatment of cholelithiasis patients. Methods： We retrospectively studied 92 cases with intraoperative eholangiography from 196 cholelithiasis patients underwent laparo- scopic surgery from September 2009 to September 2012. Results： By intraoperative cholangiogra- phy, 13 cases of choledocholithiasis, 4 cases of pancreaticobiliary maljunction, 3 cases of cystic duct retained calculus, 5 cases of cystic duet opening anomaly, and 1 ease bile duct injury were found and the treated well during operation. Conclusion： Laparoscopic intraoperative cholangiog- raphy can clearly show the anatomical structure of biliary tree, reduce biliary＇s negative explora- tion rate, find out biliary tract injury instantly, and reduce postoperative bile duct residual stone rate. So it is worthy of clinical application.
出处
《武汉大学学报（医学版）》
CAS
北大核心
2014年第3期444-446,共3页
Medical Journal of Wuhan University
关键词
腹腔镜
术中胆道造影
胆石症
Laparoscopic
Intraoperative Cholangiography
Cholelithiasis
