术前超声内镜检查预防腹腔镜胆囊切除术胆总管残余结石的临床价值  

Value of endoscopic ultrasonography to prevent retained calculus in common bile duct post-laparoscopic cholecystectomy

作　　者：陈流华[1] 吴志棉[1] 郑朝旭[1] 谢晓燕[2] 崔毅[3] 余俊峰[1] 赵振献[1] 陈国泰[1] 谭敏[1] 

机构地区：[1]中山大学附属第一医院微创外科,广东广州510080 [2]中山大学附属第一医院超声科,广东广州510080 [3]中山大学附属第一医院内镜科,广东广州510080

出　　处：《中国实用外科杂志》2009年第11期928-929,共2页Chinese Journal of Practical Surgery

摘　　要：目的探讨超声内镜检查对腹腔镜胆囊切除病人手术前可疑胆总管结石的诊断价值。方法2004年1月至2007年7月中山大学附属第一医院对100例术前B超检查可疑胆总管结石的病人行超声内镜检查,对其结果进行分析。结果超声内镜检查成功率100%,发现胆总管结石54例,超声内镜对病人胆总管结石的敏感度、特异度、准确率、阳性预测值和阴性预测值分别为96.30%,97.83%,97.00%,98.11%,95.74%。结论腹腔镜胆囊切除术前对胆总管可疑结石的病人行超声内镜检查,有助于减少胆囊切除后胆总管残余结石的发生率。Objective To evaluate the rate of final diagnosis of common bile duct （CBD） stones pre-laparoscopic eholecysteetomy （LC） and to decrease retained calculus in CBD post-LC. Methods From January 2004 to July 2007, 100 symptomatic gallstones patients performed endoscopic uhrasonography （EUS） for suspected choledoebolithiasis pre-LC at the First Affiliated Hospital of Sun Yat-sen University. The EUS results were analyzed. Results The successful rate of EUS were 100%. Occult CBDS were found in 54 patients . The sensitivities, specificities, accuracies, positive and negative predictive values for occult CBDS by EUS were 96.30%, 97.83%, 97.00%, 98.11% and 95.74%. Conclusion EUS is necessary for patients to decrease the rate of retained calculus in CBD post-LC.

关 键 词：胆总管结石 超声内镜 腹腔镜胆囊切除术 

分 类 号：R6[医药卫生—外科学]