静脉胆道造影结合B超预测LC手术难度的临床研究  

Evaluation on Intravenous Cholangiography and B-mode Ultrasound in Predicting the Difficulty Classification for Laparoscopic Cholecystectomy

作　　者：刘小北[1] 杨育龙[1] 郭宏伟[1] 毛卫[1] 谭文翔[1] 

机构地区：[1]辽宁省大连市友谊医院肝胆外科,大连116001

出　　处：《中国医学影像学杂志》2003年第3期204-206,共3页Chinese Journal of Medical Imaging

摘　　要：目的 :探讨静脉胆道造影 (IVC)结合B超预测腹腔镜胆囊切除 (LC)手术难度分级标准。材料和方法 :根据患者胆囊大小、形态、胆囊壁厚薄 ,Calot三角 ,胆周有无粘连及胆道显影情况 ,将LC手术难度分为三级。结果 :Ⅰ级为适应证组 ,Ⅱ级为相对适应证组 ,Ⅲ级为禁忌证组 ,与手术对照 ,IVC结合B超分组符合率 98.4%。结论 :IVC结合B超可为手术难度及病例选择提供较为全面的依据 ,对降低LC手术中转率及并发症发生率具有重要的临床价值。Purpose:To investigate the difficulty classification (DC) of laparoscopic cholecystectomy (LC) by intravenous cholangiography(IVC) and B mode ultrasound. Materials and Methods:The DC of LC may be classificated as 3 degrees and the patients were divided into 3 groups according to IVC and the ultrasonic manifestations of the gall bladder before LC,including size,morphology,wall thickness,surrounding adhesion,state of common bile duct and image of biliary tract. Results:The first degree of DC was suitable for LC,the second was relatively suitable for LC,the third was not suitable for LC.Comparing with the surgical findings,the coincidence rate of IVC and B mode ultrasonography was 98.4%. Conclusion:IVC and B mode ultrasonography of gallbladder may provide clinicial basis for patient selection and have significant clinical value to decrease the conversion and complication rate of LC before operation.

关 键 词：静脉胆道造影 B超 LC手术 临床研究 适应证 并发症 

分 类 号：R657.4[医药卫生—外科学] R445[医药卫生—临床医学]