超声检查在腹腔镜胆囊切除术前后的诊断价值

Ultrasonic Diagnosis of Laparoscopic Cholecystectomy

目的探讨超声检查在腹腔镜胆囊切除术(Laparoscopic cholecystectomy,LC)前后的价值及临床应用意义。方法对超声检查胆囊疾病,进行回顾性分析,并与手术、病理对照。结果314例胆囊疾病,经超声检查,符合率99.7%(313/314),其中胆囊结石293例,占93.31%(293/314)、急性胆囊炎10例,占3.18%(10/314)、慢性胆囊炎6例,占1.91%(6/314)、胆囊小隆起性病变5例,占1.6%(5/314)。结论超声检查在腹腔镜胆囊切除术已成为重要的诊断工具,为临床诊断提供了有力依据。

Objective To discuss the diagnostic value of ultrasound in laparoscopic cholecystectomy. Methods Totally 314 patients with cholecysitic diseases underwent uirnsonography,the result of which were analysed and comp-ared retro-spcetively with the operational pathology.Results The accordant rate of ulurasonic examination to the colecystic diseases was 99.7%（313/314）.There were cholecystic calculi in 293 cases（293/314,93.31%）;Cholecystitis in 10（10/314,3.18）;chronic choleysititis in 6（6/314,1.91%）acute and prominence in 3（5/314,1.6%）.Conclusions Ultrasonie is an important tool in the laparoseopic cholecystectomy and provides the powerful basis for the clinical diagnosis of the gall bladder.