超声诊断充满型胆囊结石40例行手术结果分析  

Analysis of the operation results of 40 cases of ultrasonographic diagnosis of filled cholecystolithiasis

作　　者：江树国 JIANG Shu-guo(Wangjiang Hospital of Anhui Province,Wangjiang 246200,Anhui)

机构地区：[1]望江县医院,安徽望江246200

出　　处：《安徽医专学报》2022年第3期61-62,共2页Journal of Anhui Medical College

摘　　要：目的:探讨超声诊断充满型胆囊结石合并胆囊炎实施腹腔镜手术操作过程中可能遇到的炎症改变及手术方案。方法:分析超声诊断的40例充满型胆囊结石合并胆囊炎患者的手术所见。结果:38例患者顺利完成经腹腔镜手术治疗,2例患者中转剖腹术。经过手术得出40例患者胆囊内均存在结石,胆囊呈不同种类的炎症变化。结论:超声诊断充满型胆囊结石患者胆囊的炎症改变并不复杂、严重,应首选腹腔镜胆囊切除术,术中遇到的困难较少,手术安全性相对较高。Objective:To explore the inflammatory changes that may be encountered during laparoscopic surgery for a gallbladder full of gallstones with cholecystitis diagnosed by ultrasound and their surgical protocols.Methods:The surgical findings of 40 cases with gallbladders full of gallstones and cholecystitis confirmed by ultrasonic diagnosis were analyzed.Result:Thirty-eight cases of laparoscopic surgery were successfully performed while the other 2 laparoscopic procedure were converted to laparotomy.It was concluded after surgery that the presence of gallstones and different types of inflammatory changes in gallbladders were founded in all 40 cases.Conclusion:Since the inflammatory changes in patients'gallbladders full of gallstones diagnosed by ultrasound are not complex or severe,laparoscopic cholecystectomy should be preferred due to its fewer intraoperative difficulties and relatively higher surgical safety.

关 键 词：充满型胆囊结石 腹腔镜胆囊切除术 

分 类 号：R657.4[医药卫生—外科学]