术中胆道造影在单纯胆囊结石手术治疗中的应用

Application of intraoperative cholagngiography in cholecystectomy for gallbladder stone

目的 探讨术中胆道造影的价值。方法 对延安大学医学院附属医院的 6 94例术中胆道造影的资料进行回顾性分析。结果 6 94例术中胆道造影有阳性发现的 6 5例 :伴胆道结石 44例 ,其中 2 2～ 5 0岁胆管结石的阳性率 4 2 % ,5 0岁以后胆管结石的阳性率10 3% ,5 0岁以后胆管结石的发病率随年龄增长而增高 ;胆囊管残留过长 9例 ;胆囊管残余结石 7例 ;胆道损伤 2例 ;Mirizzi综合症 3例。准确率 98 0 %。结论 术中胆道造影只要技术方法正确 ,不仅有利于残余结石的发现 ,还可判断胆道变异 ,及时发现胆道损伤。

Objective To study the value of intraoperative cholangiography(IOCG) in cholecystectomy for gallbladder stone. Methods The IOCG data of 694 cases in the Affiliated Hospital, Yanan University Medical School were retrospectively analysed. Results Among 694 cases with IOCG, 65 had positve findings. Bile duct stone occurred in 44 patients, residnal stone in cyst duct in 7, bile duct injury in 2, and Mirizzi syndrom in 3. Among the 44 cases with bile duct stone, the age of 4.3% cases was 22～50 years old, 10.3% older than 50 years. The incidence of bile duct stone occurring after 50 years old increased with age. The accurate rate of IOCG was 98% in this series. Conclusions IOCG can not only find residual stone, but also find bile duct abnormality and bile duct injury in time, if correct imagic technique is applied.