术前磁共振胰胆管造影在预防胆管损伤中的作用  

Role of MRCP before operation in preventing biliary tract injury

作　　者：杨永生[1] 张学文[1] YANG Yong-sheng;ZHANG Xue-wen(Department of Hepatobiliary and Pancreatic Surgery,the Second Hospital of Jilin University,Changchun 130041,China)

机构地区：[1]吉林大学第二医院肝胆胰外科,吉林长春130041

出　　处：《中国实用外科杂志》2018年第9期988-991,共4页Chinese Journal of Practical Surgery

摘　　要：随着腹腔镜胆囊切除术(LC)的普及,胆道术后并发症发生率也相应增加,其中最严重的并发症为胆管损伤,造成胆管损伤的最主要原因为胆管的解剖变异,而磁共振胰胆管造影(MRCP)相较于其他检查对胆管变异的判定更加准确,对预防胆管损伤的发生有重要意义,推荐作为LC术前常规检查。With the popularization of the laparoscopic eholeeystectomy （LC） , the occurrence of complications after biliary tract surgery is also increased, among which the most serious complication is iatrogenic bile duct injury. The most important reason of bile-duct injury is the anatomical variation of bile duct. MRCP is more sensitive to the diagnosis of biliary duct variation than other examinations. And it is significant to prevent the occurrence of bile duct injury.It is recommended to be a routine preoperative examination of LC.

关 键 词：磁共振胰胆管造影 腹腔镜胆囊切除术 胆管变异 胆管损伤 

分 类 号：R6[医药卫生—外科学]