ERCP对胆囊切除术后并发症的诊断价值——附436例分析

DIAGNOSTIC VALUE OF ERCP IN THE ABDOMINALGIA OFTER CHOLECYSTECTOMY

统计了436例患者胆囊切除术后因症状存在而行ERCP检查,发现了10多种疾病,总检出率88.8%,有术前合并症及术后并发症,以胆总管结石、缩窄性乳头炎、胆道损伤,残留胆囊等多见。术前详细了解病史,全面检查,对有排石,黄疸、胰腺炎病史,胆囊内多发性小结石,胆总管扩张,胆道积气等推荐行ERCP检查,对术后症状存在及早行ERCP检查。

We found more than 10 kinds of diseases when we carried ERCP examination on 436 patients who stili keep ab-dominalgia after cholecystectomy, the detectable rate was 88.8 % . The diseases include complications prior to the op-eration and remnant postoperative symptoms, which were choledocholithiasis, stegnotic papillitis, injury to the bili duet, remnant cholecystis, et al. The author stressed the following measures would reduce the morbidity of postoperative abdominal pain:acquiring detailed medical history and carrying overall examination on the patient before the oper-ation; the following conditions in the medical history were suggested to receive ERCP examination:lithagogue, jaun-dice pancratitis, multiple small stone in the cholecystis, cholangiectasis, bili duct pneumatosis; for the patients catch-ing abdominalgia after cholecystectomy it is urgent to be given ERCP examination.