摘要
目的介绍腹腔镜超声检查经十二指肠DD第一段后方全程扫描胆总管(CBD)下段的技术方法。方法在300例腹腔镜胆囊切除术中经DD第一段后方对CBD下段进行全程扫描。结果经该检查方法,以简便的技术可使97.67%的CBD下段得到全程显示。25例经肝下注水并经鼻胃管抽吸胃十二指肠内气体使CBD下段的显示得以改善。本组共发现7例术前未能预测到的CBD结石。结论经DD第一段后方并通过简便的扫描手法,可满意地全程显示绝大多数的CBD下段,肝下注水或鼻胃管抽吸胃十二指肠内气体可改善部分个体的CBD下段显示效果。
Objective To introduce the techniques of scanning the common bile duct(CBD) in full length with laparoscopic ultrasonography through the sonic window dorsal to the first portion of the duodenum(FPD). Methods The lower segment of the CBD in 300 cases was scanned in full length through the sonic window dorsal to the FPD. Results In our series, 97.67% of the lower segment of the CBD can be visualized with simple techniques through sonic window dorsal to the FPD. Visualization in 25 cases were improved with injection of saline into the subhepatic space and extraction of gas from the stomach and duodenum. Conclusion Through the sonic window dorsal to the FPD and with simple techniques, the lower segment of the CBD in majority of our cases can be satisfactorily imaged in full length. Visualization can be improved in some individuals with injection of saline into the subhepatic space and extraction of gas from the stomach and duodenum.
出处
《中华消化内镜杂志》
2001年第5期261-263,共3页
Chinese Journal of Digestive Endoscopy
关键词
腹腔镜超声检查
外科学
胆总管结石
Laparoscopic ultrasonography
Surgical procedures,laparoscopic
Common bile duct stone
