摘要
目的：探讨术前磁共振胰胆管成像（MRCP）在胆囊结石伴急性胆囊炎患者腹腔镜胆囊切除术的临床应用价值。方法：随机抽取1 000例患者术前选择性行MRCP检查,了解是否存在胆道系统变异及胆总管结石。结果：1 000例患者中,63例术前B超检查提示胆总管扩张但未见结石,MRCP提示胆总管扩张合并结石; MRCP发现21例Mirizzi综合征、18例胆囊管变异、15例胆总管狭窄。检查结果均在术中证实。结论：腹腔镜胆囊切除术前行MRCP检查可充分了解胆管内是否有结石及胆道系统是否存在解剖变异,对治疗方案的制定、手术方式的选择及预后有十分重要的临床指导意义。
Objective： To evaluate the value of preoperative magnetic resonance cholangiopancreatography （MRCP） in laparoscopic cholecystectomy in patients with acute cholecystitis. Methods：4986 cases from June 2008 to June 2018 of gallbladder stones wele admitted to the laparoscopic center of Shanxi provincial armed Police Corps Hospital. 1000 patients wexe randomly selected for pxeoperative MRCP examination to find out whether thexe was biliary sys- tem variation and choledocholithiasis. Results： Among 1000 patients, 63 cases of pxeoperative b- ultrasonographyshowed dilation of common bile duct but no stone, and MRCP indicated dilation of common bile duct with stone. MRCP found 21 cases of Mirizzi syndrome, 18 cases of cholecystectomy, and 15 cases of choledochostenosis. The results were confimmd intraoperatively. Conclusions： MRCP examination before laparoscopic cholecystectomy can fully understand whether there are stones in the bile duct and whether there are anatomical variations in the biliary tract system, which is of great significance to the fommlation of treatment plan, selection of surgical methods and prognosis.
作者
王存生
张晋岗
周树理
庞天骄
WANG Cunsheng, PANG Tianjiao, ZHOU Shuli, ZHANG Jingang(Shanxi Armed Police General Hospital, Taiyuan 030006, Shanxi, China)
出处
《山西职工医学院学报》
CAS
2018年第5期10-12,共3页
Journal of Shanxi Medical College for Continuing Education
关键词
磁共振胰胆管成像
腹腔镜胆囊切除术
magnetic resonance cholangiopancreatography
Laparoscopic cholecystectomy
