胆囊切除术中胆总管探查阴性临床分析与处理  

Experience and clinical analysis of cholecystectomy and common bile duct exploration negative

作　　者：郑兰东[1] 

机构地区：[1]河南大学第一附属医院普通外科,河南开封475001

出　　处：《医药论坛杂志》2011年第15期72-73,共2页Journal of Medical Forum

摘　　要：目的探讨胆囊切除术时胆总管探查阴性的原因。方法回顾分析2008年6月—2010年12月30例胆总管探查阴性患者的临床资料。结果导致探查阴性的原因有急性水肿性胰腺炎恢复期6例,慢性胰腺炎5例,梗阻性胆囊炎6例,细小胆囊结石4例,胆总管胆汁浑浊7例,胆总管旁淋巴结肿大2例。结论胆总管内外因素可引起胆总管探查阴性,术中经胆囊管胆道造影等能减少胆总管的阴性探查。Objective To evaluate the common bile duct exploration when cholecystectomy negative reasons. Methods Retrospectives analyze in June 2008 - December 2010 totally 30 cases of common bile duct exploration in patients with negative clinical data. Results Negative lead probe the reasons for recovery of acute edematous pancreatitis in 6 cases, 5 cases of chronic pancreatitis, obstructive cholecystitis in 6 cases, small gallbladder stones in 4 cases, common bile duct bile cloudy 7 cases, common bile duct lymph node enlargement 2 cases. Conclusions The common bile duct and external negative factors that can cause common bile duct exploration, intraoperative cholangiography via the cystic duct common bile duct. can reduce the negative exploration.

关 键 词：胆囊切除术 胆总管探查术 胆道造影 

分 类 号：R657.4[医药卫生—外科学]