术前超声检查在腹腔镜切除急性胆囊炎术中的应用价值

The application value of preoperative ultrasound examination in laparoscopic resection operation with acute cholecystitis

目的:探讨腹腔镜切除急性胆囊炎术前超声检查征像与手术难易程度关系及预测手术风险的价值。方法:对35例患者术前超声检查征像(胆囊大小,胆囊壁厚度,胆囊结石大小,胆囊周围粘连情况,胆囊窝有无积液,胆囊管及颈部有无结石嵌顿),与LC术中情况进行分析。结果:术前超声检查胆囊张力增大,胆囊壁增厚(双层),胆囊结石大,胆囊周围粘连重,胆囊窝有积液,胆囊管及颈部有无结石嵌顿明显增加手术难度风险加大。结论:超声是一种简便、无创、经济的检查手段,可以更好地用于临床并指导临床工作。

Objective Preoperative laparoscopic ultrasono graphy in acute cholecystitis features and operative relationships and predict difficulty of the value of surgical risk.Methods 35 patients with preoperative ultrasound signs（the size of the gallbladder,gallbladder wall thickness,the size of gallbladder stones,gallbladder adhesions around the gallbladder fossa with or without effusion,cystic duct and neck with or without impacted stones）.Surgery with LC were analyzed.Results Preoperative ultrasonography of gallbladder tension increases,gallbladder wall thickening（double）,large gallstones,gallbladder re-adhesion around the gallbladder fossa fluid,cystic duct and neck surgery with or without impacted stones increased significantly increase the difficulty of risk large.