MRCP预防腹腔镜胆囊切除术胆管损伤的临床分析  

作　　者：高海斌[1] 倪勇[1] 王成友[1] 张敏杰[1] 陈斌[1] 

机构地区：[1]深圳市第二人民医院,518035

出　　处：《当代医学》2011年第19期9-10,共2页Contemporary Medicine

摘　　要：目的探讨腹腔镜胆囊切除术(LC)前行磁共振胆胰管成像(MRCP)在预防胆管损伤方面的作用。方法回顾性分析2004年5月～2009年4月1634例LC的临床资料,全部病例术前均行胆道系统超声检查,其中604例病例加做MRCP,对术后发生的胆管损伤进行分析。结果本组病例胆管损伤共10例,其中MRCP组1例,损伤率0.16%,非MRCP组9例,损伤率0.87%。两组之间胆管损伤的发生率有差异(x2=4.67,P<0.05)。结论 LC术前行MRCP检查对预防胆管损伤、降低胆管损伤发生率有重要意义。Objective To explore the effects of magnetic resonance cholangiopancreatography（MRCP） as preoperative examination of laparoscopic choleystectomy（LC） for prevention of the bile duct injury.Methods The clinical data of 1634 patients with gallbladder disease treated by LC from 2004.5 to 2009.4 in our hospital were retrospectively analyzed.The patients were examined on biliary ducts by ultrasound before operation. Among which,604 cases were additionally Scanned by MRCP. The postoperative bile duct injury was analyzed and summarized.Results In 604 cases examined by MRCP,the incidences of bile duct injury was 1（0.16%） ,In the other 1030 cases,the incidences of bile duct injury were 0.87%.There was significant difference in the incidences of bile duct inj ury between the 2 groups（x2=4.67,P〈0.05） .Conclusion MRCP as preoperative examination of LC is very important,which can prevent and decrease the rate of the bile duct injury.

关 键 词：腹腔镜胆囊切除术 胆管损伤 磁共振胆胰管成像 

分 类 号：R657.4[医药卫生—外科学]