术中胆道造影的临床价值和合理应用

THE CLINICAL VALUE AND REASONABLE USE OF OPERATIVE CHOLANGIOGRAPHY

对１１４例术中胆道造影进行了分析。结果表明按临床指征行胆总管探查，阳性率为５７．９％，其中相对指征者仅１３．５％，术后残石率为３．４％。提示术中胆道造影在降低残石率、减少胆管阴性探查等方面有重要价值。认为具胆总管相对探查指征者应将术中经胆囊管胆道造影检查列为常规。

cases of undergoing operativecholangiography were analysed.The result showedthat the positive rate was 57.9%,if there were clinical indications for bile duct exploration, in whichthere was only a positive rate of 13.5%when therewere relative clinical indications alone. These suggest that operative cholangiography is important notonly for the reducing of remained stones but also forthe avoiding of unnecessary exploration,Operativecholangiography by Cannulation of the cystic ductshould be performed as routine in patients with relative indications for bile duct exploration。