中国实用外科杂志2009,Vol.29Issue(11):928-929,2.
术前超声内镜检查预防腹腔镜胆囊切除术胆总管残余结石的临床价值
Value of endoscopic ultrasonography to prevent retained calculus in common bile duct post-laparoscopic cholecystectomy
陈流华 1吴志棉 1郑朝旭 1谢晓燕 2崔毅 3余俊峰 1赵振献 1陈国泰 1谭敏1
作者信息
- 1. 中山大学附属第一医院,微创外科,广东广州,510080
- 2. 中山大学附属第一医院,超声科,广东广州,510080
- 3. 中山大学附属第一医院,内镜科,广东广州,510080
- 折叠
摘要
Abstract
Objective To evaluate the rate of final diagnosis of common bile duct (CBD) stones pre-laparoscopic cholecystectomy (LC) and to decrease retained calculus in CBD post-LC. Methods From January 2004 to July 2007, 100 symptomatic gallstones patients performed endoscopic ultrasonography (EUS) for suspected choledocholithiasis pre-LC at the First Affiliated Hospital of Sun Yat-sen University. The EUS results were analyzed. Results The successful rate of EUS were 100%. Occult CBDS were found in 54 patients . The sensitivities, specificities, accuracies, positive and negative predictive values for occult CBDS by EUS were 96.30%, 97.83%, 97.00%, 98.11% and 95.74%. Conclusion EUS is necessary for patients to decrease the rate of retained calculus in CBD post-LC.关键词
胆总管结石/超声内镜/腹腔镜胆囊切除术Key words
common bile duct stones/ endoscopic ultrasonography/ laparoscopic cholecystectomy分类
医药卫生引用本文复制引用
陈流华,吴志棉,郑朝旭,谢晓燕,崔毅,余俊峰,赵振献,陈国泰,谭敏..术前超声内镜检查预防腹腔镜胆囊切除术胆总管残余结石的临床价值[J].中国实用外科杂志,2009,29(11):928-929,2.