昆明医科大学学报2013，Vol.34Issue(1)：80-82,3.
常规MRCP检查在胆囊结石患者行LC前的应用价值
The Application Value of Routine MRCP Examination in Cholelithiasis Patiens before LC
摘要
Abstract
Objective To explore the application value of routine MRCP examination in cholelithiasis patients before LC. Methods 5 698 cholelithiasis patiens were admitted in the Dept.of Abdominal Minimally Invasive Surgery, The 2nd Affiliated Hospital of Kunming Medical Universit from January 2007 to October 2012. All patients were diagnosed cholelithiasis by B ultrasonic examination, and were not found with choledocholithiasis. The application value of routine MRCP examination in cholelithiasis patients before LC was explored. Results 117 cases of 5698 cases were found with common bile duct stones by MRCP, 11 cases were found with common bile duct stones and expansion by MRCP, while B ultrasonic examination showed normal common bile duct, 231 cases were found with common bile duct stones and expansion by MRCP, while B ultrasonic examination showed common bile duct expansion, During the operation the common bile duct exploration found 355 cases of common bile duct stones, the positive rate was 98.9%. MRCP found 27 cases of Mirizzi syndrome, 181 cases of cystic duct variation, 83 cases of accessory hepatic duct, 2 cases of common bile duct stenosis, and 2 cases of Budd-Chiari syndrome. Different operation modes should be taken according to the specific condition of patients during operation. Conclusions Routine MRCP examination for cholelithiasis patiens before LC can fully understand the incidence of common bile duct stones, cystic duct variation, accessory hepatic duct, etc.Appropriate operation modes can reduce the incidence of intraoperative biliary tract injury and postoperative residual calculi.关键词
MRCP/胆囊结石/应用价值Key words
MRCP/ Cholelithiasis/ Application value分类
医药卫生引用本文复制引用
孙敏,刘训强,滕毅山,李双喜,许宁..常规MRCP检查在胆囊结石患者行LC前的应用价值[J].昆明医科大学学报,2013,34(1):80-82,3.基金项目
云南省卫生厅内设研究机构基金资助项目(2011WS0081) （2011WS0081）
