超声检查在肝胆胰手术中的应用  

The value of intraoperative ultrasound in the operative project of hepatopancreatobiliary

作　　者：魏文杰[1] 朱亚利[1] 曹殿花 郭清弋 陈哲[1] 

机构地区：[1]北京市普仁医院外科

出　　处：《临床肿瘤学杂志》2006年第8期615-616,共2页Chinese Clinical Oncology

摘　　要：目的：探讨术中应用超声高频率探头检查方法在肝胆胰手术中的价值。方法：1996年～2005年10月选择肝胆胰手术103例，其中男性68例，女性35例，年龄45—76岁；肝癌26例，胆囊癌5例，胆管癌6例，胰腺癌10例，胆囊结石及胆总管结石56例，术中应用超声高频率探头检查。结果：术中发现术前超声检查未发现的微小病灶及发现肝癌患者中有70％左右伴有血管内肿瘤栓子。另1例术前诊断为胰头癌，经术中超声检查为胆总管囊性扩张合并炎症。胆管结石患者8例．术前超声检查胆总管无异常，术中超声发现胆总管下段结石。结论：术中应用超声高频率探头检查获得高质量的影像，探察目标更为清晰，对术中及术后治疗方案有重要指导意义。Objective：To explore the reference value of intraoperative ultrasound in operative project and postoperative treatment with relation to hepatopancreatobiliary surgery. Methods： 103 cases of hepatopancreatobiliary operations were collected in our hospital from January of 1996 to October of 2005, in which 68 cases were male and the others were female. The age of patients was from 45 to 76. Hepatocellular carcinoma were 26cases, allbladder carcinoma were 5 cases, cholangiocarcinoma were 6cases, pancreatic carcinoma were 10 cases and 56cases were gall stone and/or choledocholithiasis in all cases of intraopentive ultrasound with high frequency probles. Results： Some minimal occult focuses of preoperation was found by intraoperative ultrasound. We found vascular tumor thrombosis in 70% cases of hepatocellular carcinomas. One case was diagnosed as pancreatic carcinoma before operation and found choledochal tract dilatation concurrently with inflammation by intrauhrasound. 8 cases of gallstones with no choledochai stones before operation were found by intraoperative ultrasound that stone lain in low segment of common bile duct. Condusion：The image data of high quality obtained by intraoperative ultrasound could not only direct our more proper operative practice but also favor us to make more reasonable postoperative treatment plan.

关 键 词：超声检查 肝胆胰手术 

分 类 号：R730.41[医药卫生—肿瘤]