腹腔镜胆囊切除术中胆道造影与术前ERCP诊治可疑胆总管结石的临床比较  

Introperative cholangiography versus preoperative ERCP in laparoscopic cholecystectomy:a clinical comparison of diagnosis and treatment effects on common bile duct calculi

作　　者：陈海川[1] 金肖丹[1] 潘杰[1] 贺亚东[1] 陈雷[1] 宋洪亮[1] 肖竣[1] 徐迈宇[1] 

机构地区：[1]温州市第二人民医院,浙江温州325000

出　　处：《腹腔镜外科杂志》2007年第5期426-428,共3页Journal of Laparoscopic Surgery

摘　　要：目的:比较腹腔镜胆囊切除术(laparosocopic cholecystectomy,LC)术中胆道造影与术前ERCP对诊治可疑胆总管结石的临床价值。方法:回顾分析2005年3月至2006年11月于LC术中行胆道造影43例患者与术前行ERCP63例患者的临床资料。结果:术中胆道造影组发现胆总管结石16例,阳性率占37.21%,造影不成功2例,占4.65%,无明显造影并发症,术前ERCP组发现胆总管结石19例,阳性率占30.16%,不成功13例,占20.63%,致术后胆道感染12例,急性胰腺炎9例,占33.33%。结论:术中胆道造影不仅简便,而且患者痛苦小,并发症少,治疗费用低,明显优于术前ERCP检查。Objective： To compare the diagnosis and treatment value between intraoperative cholangiography and preoperative ERCP for common bile duct calculi in laparoscopic cholecystectomy（LC）.Methods：Forty-three cases of LC with intraoperative cholangiography and 63 cases of LC with preoperative ERCP in our hospital from Mar.2005 to Nov.2006 were analyzed retrospectively.Results：In intraoperative cholangiography group 2 cases（4.65%） failed 16 cases（37.21%） were found with common bile duct calculi.No complication occured.In preoperative ERCP group,13 cases（20.63%） failed,19 cases（30.16%） were found with common bile duct calculi.21 cases（33.3%） were associted with postoperative complications（12 cases of postoperative bile duct infection and 9 cases of acute pancreatitis occurred both of which was almost 33.33% of total cases）.Conclusions：Compared with preoperative ERCP,intraoperative cholangiography is not only convenience,but also with less pain,fewer complications,and lower cost.

关 键 词：腹腔镜检查 胆管造影 胆总管结石 

分 类 号：R657.4[医药卫生—外科学]