腹腔镜胆囊切除手术难度预测(附598例分析)

Predicting the operating difficulty before laparoscopic cholecystectomy

目的 :探讨LC术前手术难度的预测方法。方法 :术前根据病史、B超检查、MRCP、静脉胆道造影等情况 ,对 5 98例LC病人手术难度进行预测 ,并将预测结果与LC术中情况进行对比分析。结果 :术中发现该 5 98例LC病人手术难度与术前手术难度预测的结果有较高的符合率。结论 :术前根据病史、B超检查、MRCP。

Objective: To investigate the predicting difficulty before laparoscopic cholecystectomy(LC). Method: The operating difficulty before LC was analyzed according to the medical history, B-ultrasoundgaphy, MRCP and intravenous cholangiography .In the course of the operation ,the actual condition in the 598 cases were compared with the predicted difficulty. The outcome was analyzed simultaneously. Result: The actual difficulty during the course of operation was nearly confirmity with the predicted difficulty. Conclusion: By the analysis of medical history, B-ultrasoundgaphy, MRCP and intravenous cholangiography before LC, the prediction of the difficulty could be obtained accurately.