MRCP在电视腹腔镜胆囊切除术前的临床应用分析

Before peritoneoscope gallbladder excision method,MRCP applied analysis

目的评价在腹腔镜胆囊切除(LC)术前应用磁共振胰胆管成像(MRCP)的临床价值。方法回顾性分析2008年5月至2009年10月要求择期行LC的960例胆石病患者术前常规行MRCP检查。结果26例术前B超探查胆总管正常而MRCP则提示胆总管下段扩张并微小结石,行胆总管切开取石冲洗T管引流术,术中证实为胆囊结石继发胆总管结石。96例术前B超探查胆总管扩张(胆总管下段结石可能)而MRCP检查提示胆总管扩张,未见结石征象,行LC,术后治愈出院。74例术前发现胆管解剖变异,70例行LC术,避免了胆管损伤。结论LC术前常规行MRCP检查可充分了解胆总管管腔内情况,准确选择术式,减低LC术后综合征的已存因素;在LC术术前对胆管解剖变异的准确显示,可以降低术中胆管损伤的危险性。

Objective To evaluate laparoscopic chalecystectomy laparoscopic cholecystectomy preoperative magnetic resonance cholangiopancreatography Magnetic resonance cholangio pancreatography of the clinical value. Methods A retrospective review from May 2008 to May 2009 selective LC requirements of the 960 cases of gallstone patients routinely preoperative MRCP examination. Results 26 cases of preoperative B - exploration of common bile duct was normal and MRCP prompted the expansion of common bile duct and small stones, the common bile duct stone wash T - tube drainage, surgery proved to be secondary to choledocholithiasis cholelithiasis. 96 cases of preoperative B - expanding exploration of common bile duct （common bile duct stones may be） and the MRCP examination prompted the expansion of common bile duct and no signs of stones, the LC, after discharged cured. Found 74 cases of preoperative anatomic variations of bile duct, 70 patients routine LC avoid bile duct injury. Conclusion LC preoperative MRCP routinely check the full understanding of the situation of common bile duct lumen and accurate choice of surgical procedures to reduce postoperative syndrome LC factors are deposited ; in LC preoperative biliary anatomic variations of the exact show that surgery can reduce in the risk of bile duct injury.