MRCP在腹腔镜胆囊切除术前的应用价值分析  

The Applied Value of MRCP before laparoscopic Cholecystectomy

作　　者：陈峰[1] 徐迈宇[1] 潘步建[1] 陈雷[1] 金肖丹[1] 

机构地区：[1]温州医学院定理临床学院,温州325000

出　　处：《数理医药学杂志》2011年第1期41-43,共3页Journal of Mathematical Medicine

摘　　要：目的：讨论磁共振胰胆管成像（MRCP）在腹腔镜胆囊切除术（LC）前的应用价值。方法：分析某院2008年10月~2010年5月拟行腹腔镜胆囊切除术,术前怀疑胆总管结石而行MRCP检查的56例患者的临床诊治资料。结果：经MRCP检查发现胆总管结石15例,其中6例行内镜下乳头括约肌切开术（EST）＋LC术,6例行腹腔镜胆囊切除、胆总管切开探查取石术（LC＋LCBDE）,3例行腹腔镜胆囊切除、经胆囊管胆总管探查取石术（LC＋LTCBDE）。未发现胆总管结石的41例仅行LC术,术后3例出现胆管炎表现,经ERCP证实胆总管结石,行EST取石。讨论：腹腔镜胆囊切除术前,对于可疑伴有胆总管结石的胆囊结石病人,MRCP检查具有重要的诊断价值,同时可根据MRCP检查结果,选择不同的微创治疗方法。Objective： To evaluate the applied value of MRCP before LC.Methods： Analyse 56 patients with gallstones and clinically suspected of common bile duct stones which were subjected to MRCP before LC.Results： Fifteen cases of common bile duct stones were found by MRCP.Among them,6 cases were subjected to EST＋LC,and 6 cases were subjected to LC＋LCBDE,and 3 cases were subjected to LC＋LTCBDE.In 41 cases without common bile duct stones found only LC was performed.Among them,3 cases were subjected to EST to remove the stones in common bile duct confirmed by ERCP after LC.Conclusions： MRCP has an important value in the diagnosis of patients with gallstones suspected of common bile duct stones before LC,and we can choose different ways of minimally invasive surgical procedures on the basis of the result of MRCP examination.

关 键 词：腹腔镜胆囊切除术 磁共振胰胆管成像 内窥镜逆行胰胆管造影 

分 类 号：R445.2[医药卫生—影像医学与核医学] R604[医药卫生—诊断学]