超声检查在急性胆囊炎腹腔镜胆囊切除术前的应用价值  

Value of preoperative ultrasonography for acute cholecystitis patients undergoing laparoscopic cholecystectomy

作　　者：王晶明[1] 丁蓉[1] 白新艳[1] 袁雪红[1] 李霞[1] 

机构地区：[1]中国人民解放军第451医院特诊科,陕西西安710054

出　　处：《中国医学影像技术》2011年第5期1006-1008,共3页Chinese Journal of Medical Imaging Technology

摘　　要：目的评价术前超声检查对预测腹腔镜胆囊切除术(LC)治疗急性胆囊炎难度的价值。方法对180例因急性胆囊炎接受LC的患者,术前超声检查综合分析胆囊轮廓、胆囊颈部、囊壁厚度、囊壁回声、囊内回声情况,评估胆囊周围、Calot三角区的粘连程度,并与手术病理进行对照。结果超声检查综合性评估胆囊与周围组织粘连程度的敏感度为92.78%(90/97),特异度为93.98%(78/83),准确率为93.33%(168/180)。结论术前超声检查对预测LC治疗急性胆囊炎的难度有重要价值。Objective To observe the value of preoperative ultrasound in predicting possible difficulties of laparoscopic cholecystectomy（LC） in patients with acute cholecystitis.Methods A total of 180 patients with acute cholecystitis received ultrasonography before LC.The gallbladders were comprehensively examined to observe the contour,gallbladder necks,wall thickness,wall echoes and intracyst echoes.Preoperative data and intraoperative data were compared for accessing the grade of adherence in the pericholecystic and Calot triangular area.Results The sensitivity,specificity and accuracy of preoperative ultrasonography for predicting the grade of adherence between the gallbladder and the tissue around it was 92.78%（90/97）,93.98%（78/83） and 93.33%（168/180）,respectively.Conclusion Preoperative ultrasonography is valuable for predicting difficulties during LC in patients with acute cholecystitis.

关 键 词：胆囊疾病 超声检查 胆囊切除术 腹腔镜 

分 类 号：R575.61[医药卫生—消化系统] R445.1[医药卫生—内科学]