摘要
目的:探讨经胆囊行胆道造影在腹腔镜保胆手术中的应用效果及临床价值。方法:回顾分析2010年1月至2013年5月于98例保胆手术中经胆囊行胆道造影的临床资料。结果:98例患者中34例胆囊、肝内胆管、胆总管及十二指肠均显影,20例仅胆囊显影,44例胆囊、肝内胆管、胆总管上段显影。34例胆道均显影的患者一次性手术成功;14例行胆囊切除术;3例先行胆囊造瘘后二次手术行胆囊切除术;3例行胆囊造瘘术,二期经瘘道胆道镜探查成功保胆,行保胆取石术;44例行胆总管切开探查术。其中81例成功保胆。术后无并发症发生。结论:保胆手术中经胆囊行胆道造影既可了解胆道系统情况,又可为术中是否行胆总管探查提供依据,是较好的检查方法。
Objective：To explore the clinical efficacy and value of the cholecystography in gallbladder-preserving cholelithoto-my. Methods ：The clinical data of 98 patients who underwent cholecystography in gallbladder-preserving eholelithotomy from Jan. 2010 to May 2013 were retrospectively analyzed. Results：Gallbladder,intrahepatic bile ducts, common bile duct and duodenum became visi-ble in 34 cases ;20 cases showed only gallbladder image. Gallbladder, intrahepatic bile ducts and the upper part of common bile duct were visible in 44 cases. 34 cases whose bile ducts were all visible were successful in the first operation. 14 cases were treated with lap-aroscopic cbolecystectomy. 3 cases were treated with laparoscopic cholecystectomy in a second operation after gallbladder fistulization. 3 cases were treated with gallbladder fistulization in the first operation, and trans-fistula gallbladder exploration and gallbladder-preserving cholelithotomy in a second operation. 44 cases were treated with choledochotomy. 81 cases of gallbladder were successfully preserved. No complications occurred after operations. Conclusions：The application of cholecystography in gallbladder-preserving cholelithotomy pro-vides surgeons with details of biliary system and basis for intra-operative common bile duct exploration. Cholecystography in gallbladder- preseiving cholelithotomy is a good method of examination.
出处
《腹腔镜外科杂志》
2014年第3期202-204,共3页
Journal of Laparoscopic Surgery
关键词
胆结石
保胆取石术
腹腔镜检查
胆囊造影术
胆道镜检查
Cholelithiasis
Gallbladder-preserving cholelithotomy
Laparoscopy
Cholecystography
Choledochoscopy
