超声预测腹腔镜胆囊切除手术难度的临床研究

Clinical study of difficulty classification by B-mode ultrsound before laparoscopic cholecystectomy

目的 :探讨超声预测腹腔镜胆囊切除 (L C)手术难度分级标准。方法 :根据病人胆囊大小、形态、胆囊壁厚薄 ,胆周有无粘连及胆总管情况 ,将 L C手术难度分为三级。结果 : 级为适应证组 , 级为相对适应证组 , 级为禁忌证组 ,与手术对照 ,B超分组符合率 96 .5 %。结论 :B超可为手术难度及病例选择提供较为全面的依据 ,对降低 L

Objective:To investigate the difficulty classification (DC) of laparoscopic cholecystectomy (LC) by B-mode ultrasound.Methods:The DC of LC may be classificated as 3 degrees and the patients were divided into 3 groups according to the ultrasonic manifestations of the gall bladder before LC,including size,morphology,wall thickness,surrounding adhesion and state of common bile duct.Results:The first degree of DC was suitable for LC,the second was relatively suitable for LC,the third was not suitable for LC.Comparing with the surgical findings,the coincidence tate of B-mode ultrasonography was 96.5%.Conclusion:Preoperatative B-mode ultrasonography of gallbladder may provide clinicial basis for patient selection and has significant clinical value to decrease the conversion and complication rate of LC. [FK(WB00001。5]