胆囊切除术中经胆囊管胆道造影的临床意义  

Clinical Significance of Cystic Duct Holangiography in Cholecystectomy

作　　者：殷久伟 

机构地区：[1]江苏省句容市白兔中心卫生院白兔分院,212434

出　　处：《中国卫生标准管理》2015年第25期49-50,共2页China Health Standard Management

摘　　要：目的 探讨胆囊切除术中经胆囊胆道造影的临床意义。方法 以2010年1月-2014年9月在我院行胆囊切除术的42例患者为研究对象,所有患者都经胆囊管胆道造影。回顾性分析其临床资料,统计手术完成后阳性情况和造影检查结果,以对比方式分析造影检查和超声检查的符合率情况,并以此为基础研究经胆囊管胆道造影的临床意义。结果 42例患者胆道造影插管均成功,成功率100%;经手术证实,33例患者通过超声探查取石成功,安全完成手术,超声符合率78.57%（33/42）,34例患者经造影检查确诊为阳性患者,造影符合率97.05%（33/34）。两种诊断方法差异有统计学意义（P〈0.05）;经术后复查,无患者胆道损伤,经术后回访,无患者出现胆管狭窄等并发症。结论 胆囊管胆道造影在胆囊切除术中的应用可提供清晰影像,不仅能帮助临床发现胆管、胆囊管结石,更能帮助医生掌握患者胆道情况,减少胆管不必要损伤,提高诊断符合率,优化手术治疗.Objective To investigate the clinical significance of gal bladder bile duct in cholecystectomy. Methods From January 2010 to September 2014, 42 cases of patients with cholecystectomy in our hospital for the study,al patients were in the gal bladder bile duct. Retrospective analysis of the clinical data,the results of the positive cases and the results of the contrast examination were done,and the coincidence rate of contrast examination and ultrasound examination were compared. Results The success rate was 42,the success rate was 100%,33 patients were treated by ultrasonic, the safety of the patients was 78.57%（33/42）,34 patients were diagnosed as positive,the rate of contrast was 97.05%（33/34）,the difference between the two methods was statistical y significant（P〈0.05）. The patients had no postoperative bile duct injury. Conclusion The application of cystic duct and bile duct in cholecystectomy can provide clear image,not only can help clinical discovery of bile duct,cystic duct stones,but also help doctors to control patients with biliary tract,reduce bile duct injury,improve the diagnosis rate,optimize the operation.

关 键 词：胆囊切除术 经胆囊管胆道造影 临床意义 

分 类 号：R575[医药卫生—消化系统]