腹腔镜超声检查在胆囊切除术中的临床应用  

The application of laparoscopic ultrasongraphy in cholecystectomy

作　　者：韩朝阳[1] 王红军[1] 付艳忠[1] 

机构地区：[1]焦作市第二人民医院,河南焦作454001

出　　处：《腹腔镜外科杂志》2005年第6期375-376,共2页Journal of Laparoscopic Surgery

摘　　要：目的:探讨腹腔镜超声检查(LUS)在腹腔镜胆囊切除术(LC)中的临床应用价值。方法:对168例LC患者同时行LUS。结果:LUS与术前B超和CT比较,其胆囊、胆管疾病阳性检出率分别为100%(168/168)、92%(155/168)、90%(151/168)。结论:LUS在胆系占位病变的阳性检出率高于B超和CT(P<0.05)。在判断胆道系统的解剖结构和胆总管残石方面可与术中胆管造影术(IOC)相比美,但更简单、安全、省时、并可减少胆道损伤,为胆道探查术提供重要指征,降低了胆道残石和阴性胆道探查术的发生率。Objective： To explore applied value of laparoscopic ultrasongraphy （LUS） in laparoseopic cholecystectomy. Methods：LUS has been applied in 168 cases of laparoscopic cholecystectomy. Results：The positive rate in making sure the LUS, BUS and CT in examinating gallbladder diseases and cysticduct diseases is 100% （168/168） ,92% （155/168） and 90% （151/168）. Conclusions： The positive rate of LUS in examining space occupying lesion of gallbladder is higher than that of BUS and CT. The anatomy of biliary duct and the residual calculi of choledochus it has the same effect as in traoperative cholangiography. It has merits of simplicity, safety, time-saving, reducing and preventing the trauma of biliary duct, providing the important guideline for common bile duct exploratio（CBDE） and reducing the occaring of retained stones.

关 键 词：超声检查 胆囊切除术 腹腔镜 

分 类 号：R657.4[医药卫生—外科学]