胆囊管阴性结石腹腔镜手术治疗的临床分析

Clinical Experiences of Laparoscopic Surgery in the Treatment of Cystic Duct Negative Calculi

目的探讨胆囊管阴性结石临床诊断及治疗体会。方法分析21例胆囊管阴性结石行腹腔镜手术治疗的临床效果并做出总结。结果术前经CT、B超检查均未提示胆囊管结石，但病员有明显的胆道结石症状及体征，经患者本人申请及医生考虑后均行腹腔镜手术治疗．术中证实为胆囊管结石，术后追踪病员，症状均消失。结论因为胆囊管的特殊解剖结构及胆囊管内结石一般偏小．术前CT或B超检查不一定有阳性报告，只要患者症状及体征符合胆道结石病，可告之患者手术的风险性，并积极行手术治疗，能达到临床满意效果。

Objective To investigate the clinical diagnosis and therapy of cystic duct negative calculi. Methods The clinic data of 21 cystic duct negative calculi patients with obvious symptoms and signs of biliary calculi undergoing laparoscopic surgery were analyzed retrospectively. Results Though cystic duct calculi were not found in the 21 cases by CT and B-ultrasound examination before laparoscopic surgery, they were found during operation. After operation clinical symptoms disappeared. Conclusion Due to special anatomical structure of the cystic duct and small cystic duct calculi, cystic duct calculi are not necessarily found in preoperative CT or B-ultrasound examination. As long as the patient＇s symptoms and signs meet the diagnosis standards of biliary calculi, laparoscopic surgery can achieve satisfactory clinically results.