亚甲蓝胆囊造影术在腹腔镜胆囊切除术中的作用

The effect of methylenum coeruleum in laparoscope cholecystectomy

目的 在腹腔镜胆囊切除术 (LC)中正确判断总胆管、胆囊管的解剖部位 ,减少手术误伤。 方法 将同期、同样体重的LC患者随机分成两组。显影组 ( 5 89例 )。术中采用亚甲蓝注射液 ,行胆囊穿刺造影 ,使胆囊、胆囊管、总胆管颜色显蓝。对照组 ( 5 5 3例 ) :常规腹腔镜胆囊切除术 ,未行胆囊造影术。 结果 显影组手术时间 [( 36± 9)min]、并发症发生率 ( 0 )及中转手术率 ( 1 87% )与对照组比较差异均有极显著意义 (P <0 0 1)。 结论 在LC术中行亚甲蓝胆囊造影术是一种较直观的显影技术 ,可帮助术者在LC术中正确判断Calot三角解剖结构 ,明显缩短手术时间 。

Objectives To help the operator correctly judge in operation the cystic gall duct and choledoch, and eliminate the operation wound. Methods To divide laparoscope cholecystectomy patients with the same weight at the same period into two groups: development group (589 cases) using methylenum coeruleum and conducting cholecysto puncture visualization during the operation in which colors of cholecyst,cystic gall duct and choledoch turn blue; comparative group (553 cases) using regular laparoscope cholecystectomy. Results The two groups differd remarkably in operation time,complication, and transferring rate ( P <0 01). Conclusions Methylenum coeruleum development technology in operation is a kind of visualization to help the operator judge in operation Calot triangular anatomy construction correctly, reduce the operation time obviously, and increase the rate of success.