西北国防医学杂志2011，Vol.32Issue(6)：425-427,3.
胆囊管综合征的诊断与治疗
Diagnosis and treatment of cystic duct syndrome
范瑞芳 1袁克文 1雍召生 1李荣梓 1张超 1肖毅 1胡鹏 1许淑梅1
作者信息
- 1. 兰州军区兰州总医院肝胆外科,甘肃兰州730050
- 折叠
摘要
Abstract
Objective: To discuss the diagnostic method and therapeutic measure of cystic duct syndrome (CDS). Methods: The clinical symptoms, diagnosis process and treatment outcome were analyzed retrospectively in 36 patients with CDS. Results: All of the 36 patients had the typical abdominal symptoms containing biliary colic. Abdominal ultrasound and oral cholecystography were routinely performed in 36 patients, and magnetic resonance cholangiopancreatography (MRCP) indicated cystic duct circuity, chronic cholecystitis and hydrops of gallbladder in 21 patients. The secondary gallbladder stones were found in 12 patients. Six patients were complicated with acute suppurative cholecystitis. Laparoscopic cholecystectomy (LC) was performed successfully in 31 patients, and 2 patients of them received transumbilical single - port laparoscopic cholecystectomy ( TUSPLC ). Five patients underwent conventional open cholecystectomy. The intraoperative findings and postoperative pathological examination were consistent with the diagnosis of CDS. Conclusion: The diagnosis of CDS should be based on clinical symptoms, medical imaging, intraoperative exploration and postoperative pathological results. LC may be an ideal treat method for CDS patients.关键词
胆囊管综合征/腹腔镜胆囊切除术/诊断/治疗Key words
Cystic duct syndrome/ Laparoscopic cholecystectomy/ Diagnosis/ Treatment分类
医药卫生引用本文复制引用
范瑞芳,袁克文,雍召生,李荣梓,张超,肖毅,胡鹏,许淑梅..胆囊管综合征的诊断与治疗[J].西北国防医学杂志,2011,32(6):425-427,3.
