| 冯方栋,訾雪剑,董刚.术前磁共振胰胆管成像检查在腹腔镜胆囊切除治疗胆石症中的价值[J].安徽医药,2017,21(9):1626-1628. |
| 术前磁共振胰胆管成像检查在腹腔镜胆囊切除治疗胆石症中的价值 |
| The value of preoperative magnetic resonance cholangiopancreatography in cholelithiasis patients treated by laparoscpic cholecystectomy |
| 投稿时间：2016-12-08 |
| DOI： |
| 中文关键词: 胆石症 磁共振胰胆管成像 腹腔镜胆囊切除术 |
| 英文关键词: Cholelithiasis Magnetic resonance cholangiopancreatography Laparoscopic cholecystectomy |
| 基金项目: |
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| 中文摘要: |
| 目的 探讨磁共振胰胆管成像(MRCP)在腹腔镜胆囊切除治疗胆石症中的价值。方法 回顾性分析160例胆囊结石患者的临床资料。根据术前是否行MRCP检查分为MRCP组(80例)和非MRCP组(80例)。比较两组患者的术前及手术相关资料。结果 两组患者术前相关肝功能比较差异无统计学意义(P>0.05)。MRCP组术前发现胆道变异6例,胆道结石5例,无漏诊结石,而非MRCP组术前未发现胆道变异及胆道结石,术中发现胆道变异3例,其中1例胆道损伤,并3例漏诊结石且再次入院治疗,两组的住院费用及住院时间的比较差异无统计学意义。结论 胆囊结石行腹腔镜胆囊切除术前常规行MRCP检查有助于减少胆管结石的漏诊、胆道损伤,并不显著增加治疗费用和住院时间,能够使患者获益。 |
| 英文摘要: |
| Objective To explore the value of preoperative magnetic resonance cholangiopancreatography (MRCP) in cholelithiasis patients treated by laparoscpic cholecystectomy (LC).Methods This retrospective study included 160 patients with gallstones and they were assigned into two groups.In MRCP group,preoperative MRCP was performed in 80 patients.The non-MRCP group included 80 patients.The preoperative clinical variables and operative variables were compared between the two groups.Results There were no statistical differences between the two groups in preoperative liver function (P>0.05).In MRCP group,six anatomic abnormity of bile duct and five biliary stones were found and no residual biliary stones were missed.In non-MRCP group,no anatomic abnormity of bile duct and biliary stones were found before operation,three anatomic abnormity of bile duct,one bile duct injury occurred and three patients received another hospitalization for postoperative remnant stones.There were no statistical differences in total hospitalization expense and hospitalization time between the two groups.Conclusions Preoperative MRCP examination before LC can reduce the incidence of biliary tract injury and residual biliary stones without increasing the hospital stay and expense which can benefit the patients. |
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