超声检查对腹腔镜胆囊切除术难度的预测价值  

Value of preoperative sonography in predicting difficulties of laparoscopic cholecystectomy

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

机构地区：[1]解放军第451医院,陕西西安710054

出　　处：《腹腔镜外科杂志》2011年第5期374-376,共3页Journal of Laparoscopic Surgery

摘　　要：目的:评价术前超声检查对预测慢性胆囊炎患者行腹腔镜胆囊切除术(laparoscop ic cholecystectomy,LC)难度的应用价值。方法:793例患者因慢性胆囊炎行LC,术前超声检查对胆囊轮廓、胆囊颈部、囊壁厚度、囊壁回声、囊内回声情况进行综合分析,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:超声检查综合评估胆囊与周围组织粘连程度的敏感性为91.32%,特异性97.51%,准确性95.08%。结论:术前超声检查对预测慢性胆囊炎患者施行LC的难度有较高的临床价值。Objective：To discuss the value of preoperative ultrasound in predicting possible difficulties of laparoscopic cholecystectomy（LC）.Methods：A total of 793 patients with chronic cholecystitis received ultrasonography examination.Before LC,the gallbladders were comprehensively examined to observe the contour,gallbladder necks,wall thickness,wall echoes,intra-cyst echoes in these patients.Preoperative data and intraoperative data were compared to access pericholecystic and Calot triangular area adherence.Results：Sensitivity,specificity and accuracy of preoperative sonography for predicting the difficulty of LC was 91.32%,97.51% and 95.08%,respectively.Conclusions：Preoperative ultrasonography is valuable for predicting difficulties during LC.

关 键 词：胆囊炎 胆囊切除术 腹腔镜 超声检查 

分 类 号：R657.4[医药卫生—外科学]