术前螺旋CT三维胆道成像对胆道损伤的预防作用  

Three-dimensional spiral CT cholangiography before laparoscopic cholecystectomy for prevention of biliary duct injury

作　　者：王红禄[1] 赵振生[1] 曹双军[1] 李晋[1] 石庆龙[1] 李旭彤[1] 任正华[1] 张涛[1] 

机构地区：[1]首都医科大学燕京医学院附属房山区良乡医院普外科,北京102401

出　　处：《国际外科学杂志》2010年第7期453-454,F0003,共3页International Journal of Surgery

摘　　要：目的 探讨腹腔镜胆囊切除术前螺旋CT三维胆道成像对胆道损伤的预防作用.方法 回顾性分析2007年7月至2009年6月期间,胆囊结石合并胆总管结石的患者30例,先行内镜下乳头括约肌切开术取出胆总管结石,通过鼻胆引流管行螺旋CT三维胆道成像,之后行腹腔镜胆囊切除术,评价螺旋CT三维胆道成像对胆道损伤的预防作用.结果 螺旋CT三维胆道成像胆总管、肝总管、左右肝管显影率100%,胆囊管显影率为73%,可清晰显示胆囊管的走行及汇入胆总管的位置,所有患者未发生胆道损伤.结论 腹腔镜胆囊切除术前行螺旋CT三维胆道成像可以减少术中胆道损伤.Objective To study the preventive effect of biliary duct injury（BDI）of three-dimensional spiral CT cholangiography（SCTC）before laparoscopic cholecystectomy（LC）.Methods A retrospective analysis was carried out for 30 patients suffering from cholelithiasts concurrent with choledocholithiasis from July 2007 to June 2009.EAndoscopic sphincterotomy（EST）,then three-dimensional SCTC was carried out through endoscop-ic nasobiliary drainage（ENBD）before IX,and the preventive effect of BDI was evaluated.Results The visibility of intra-hepatic bile duct,the hepatic bile duct and the common bile duct were 100% the visibility of chol-ecyst bile duct was 73% ,and three-dimensional SCTC can tell the position of cholecyst duct,BDI was not happened in all these patients.Conclusion Three-dimensional SCTC before LC can decrease the possibility of BDI.

关 键 词：内镜下乳头括约肌切开术 胆囊切除术 腹腔镜 螺旋CT三维胆道成像 

分 类 号：R657.4[医药卫生—外科学]