术前超声预测腹腔胆囊切除手术难度的意义

SIGNIFICANCE OF PREOPERATIVE ULTRASONIC CALCULATION THE DIFFICULTY ON LAPAROSCOPY CHOLECYSTECTOMY

目的：探讨B超诊断对腹腔镜胆囊切除术（De）的意义。方法：从248例欲施行LC手术患者中筛选出200例胆囊结石合并慢性胆囊炎及胆囊息肉患者，比较术前超声检查与IC的关系。结果：筛选出的200例患者中，LC成功切除190例（成功率95％），10例中转开腹手术（中转率5％）。另48例行开腹手术，术后结果与术前超声所见符合率100％。结论：术前超声诊断可作为判断LC手术难易程度和禁忌的超声指标。

Objective: To investigate the guiding value of ultrasonic examination to laparoscopy cholecystectomy(LC). Methods: 200 cases of gallstone with chronic cholecystitis and polyp were selected from 248 cases, who neededcholecystectomy, and the relationship between preoperative ultrasonic diagnosis and the findings on LC wascompared.Results: out of 200 cases of gallstone complicbed with chronic cholecystitis and polyp, the successful rate on LC is 190/200, the rate of changing to open cholecystectomy halfday is 10/200. The other 48 cases were performed by conventionallaparotomy, and the post - opeotive findings were the same as those of preoperative nitrasonic examination. Conclusion:Preoperative ultrasonic examination can be used as an ultrasonic index to predict the eastness and difficulty of LC.