腹腔镜胆囊切除术术前超声诊断临床分析  

The clinical analysis of laparoscopic cholecystectomy for preoperative ultrasound diagnosis

作　　者：陈言[1] 桑玉顺[1] 姥义[1] 吴晓燕[1] 

机构地区：[1]解放军第101医院,无锡214044

出　　处：《陕西医学杂志》2015年第1期60-61,67,共3页Shaanxi Medical Journal

基　　金：国家自然科学基金项目(81160245)

摘　　要：目的:探讨腹腔镜胆囊切除术术前超声诊断的临床效果。方法:对128例术前超声诊断后行腹腔镜胆囊切除术患者的超声检查结果及术后病理资料进行对比分析。结果:超声评估手术困难患者45例,实际手术中手术困难患者43例,其符合率达95.56%。此外,手术困难组与非手术困难组转开腹率、并发症率、胆囊壁厚度等参数均存在显著性差异(P<0.05)。结论:术前超声诊断可有效预测腹腔镜胆囊切除术的施术难度,对降低手术并发症,改善转开腹率具有重要临床价值。Objective：To analyze the clinical effect of ultrasonography before laparoscopic cholecystectomy.Methods：retrospective analysis of our hospital from 2013 March to 2014 March received preoperative ultrasound diagnosis of 128 cases underwent laparoscopic cholecystectomy in patients with ultrasound examination and postoperative pathologic data.Results：the ultrasound assessment of patients with difficult operation in 45 cases,the actual operation was determined with difficulty of operation in 43 cases,the coincidence rate reached 95.56%.In addition,difficult operation group and non operation group,the rate of difficult to abdominal complication,gallbladder wall thickness were significant differences（P〈 0.05）.Conclusion：ultrasound diagnosis before operation can effectively predict the difficulty of laparoscopic cholecystectomy to reduce operation complication,which has important clinical value,improve the rate of conversion to open.

关 键 词：胆囊疾病/超声检查 胆囊疾病/外科学 胆囊切除术 腹腔镜 

分 类 号：R657.4[医药卫生—外科学]