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超声检查对腹腔镜胆囊切除术难度的预测价值

王晶明 沈君礼 白新艳 丁蓉 袁雪红

腹腔镜外科杂志2011,Vol.16Issue(5):374-376,3.
腹腔镜外科杂志2011,Vol.16Issue(5):374-376,3.DOI:10.3969/j.issn.1009-6612.2011.05.024

超声检查对腹腔镜胆囊切除术难度的预测价值

Value of preoperative sonography in predicting difficulties of laparoscopic cholecystectomy

王晶明 1沈君礼 1白新艳 1丁蓉 1袁雪红1

作者信息

  • 1. 解放军第451医院,陕西,西安,710054
  • 折叠

摘要

Abstract

Objective:To discuss the value of preoperative ultrasound in predicting possible difficulties of laparoscopic cholecystectomy( LC ). Methods:A total of 793 patients with chronic cholecystitis received ultrasonography examination. Before LC, the gallbladders were comprehensively examined to observe the contour, gallbladder necks, wall thickness, wall echoes, intra-cyst echoes in these patients. Preoperative data and intraoperative data were compared to access pericholecystic and Calot triangular area adherence. Results:Sensitivity,specificity and accuracy of preoperative sonography for predicting the difficulty of LC was 91.32% ,97.51% and 95.08%, respectively. Conclusions:Preoperative ultrasonography is valuable for predicting difficulties during LC.

关键词

胆囊炎/胆囊切除术,腹腔镜/超声检查

Key words

Cholecystitis/ Cholecystectomy/ laparoscopic/ Ultrasonography

分类

医药卫生

引用本文复制引用

王晶明,沈君礼,白新艳,丁蓉,袁雪红..超声检查对腹腔镜胆囊切除术难度的预测价值[J].腹腔镜外科杂志,2011,16(5):374-376,3.

腹腔镜外科杂志

OACSTPCD

1009-6612

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