术中胆道造影应用体会：附66例

Experience in performance of intraoperative cholangiography： a report of 66 cases

目的探讨术中胆道造影应用价值。方法对2004年1月至2007年12月66例开腹胆囊切除术病人行术中胆道造影术的资料进行回顾性分析。结果发现结石者9例，胆囊颈管闭塞者2例，结石阴性者55例，胆囊十二指肠内瘘1例，及时发现胆管损伤9例及胆囊管过长与小胆囊3例。均采取相应方法，一期愈合出院。结论术中胆道造影术可降低胆总管不必要切开探查率，及时发现胆道解剖变异、畸形、损伤、肿瘤等，并能预防解剖不清、炎症重粘连明显病人的胆管副损伤。

Objective To explore the value of intraoperative cholangiography. Methods The clinical data of 66 patients receiving intraoperative cholangiography during open choleeystectomy from January 2004 to December 2007 in our hospital were retrospectively analyzed. Results Of the 66 patients, 9 suffered from stone, 2 from gallbladder carotid occlusion and 55 had no stone. For the latter 55 patients, 1 had gallbladder duodenal fistula. The bile duct injury was found promptly in 9 patients. Three patients had small cystic duct and long gallbladder. All the 66 patients were cured by different approaches. Conclusion Use of intraoperative cholangiography can reduce unnecessary open exploration of the common bile duct, timely detec biliary anatomic variations, deformity, damage, tumors to prevent unclear anatomy and heavy inflammation in patients with bile duct injury.