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腹腔镜胆囊切除术前腹部B超对手术难易程度的预测

钟瑞芳 李嫣妮 蓝焰 萧利霞 杨桂兰 郑美容 吴丽萍

中国社区医师2015,Vol.31Issue(33):97,99,2.
中国社区医师2015,Vol.31Issue(33):97,99,2.DOI:10.3969/j.issn.1007-614x.2015.33.62

腹腔镜胆囊切除术前腹部B超对手术难易程度的预测

Prediction of operation difficult degree by the abdominal B ultrasound before laparoscopic cholecystectomy

钟瑞芳 1李嫣妮 1蓝焰 1萧利霞 1杨桂兰 1郑美容 1吴丽萍1

作者信息

  • 1. 528425 广东省中山市东凤人民医院B超室
  • 折叠

摘要

Abstract

Objective:To explore the predictive accuracy of difficult degree of the abdominal B ultrasound for laparoscopic cholecystectomy.Methods:140 patients with gallbladder diseases were selected.All patients were given B ultrasound examination. The patients were given LC cholecystectomy treatment.Results:The preoperative B ultrasound examination sonographic characteristics were no complicated conditions in 115 cases(Ⅰ grade),the operations were performed smoothly,the operation time was 18 to 45 minutes,the average was 34.5 minutes.The preoperative B ultrasound examination sonographic characteristics were complex in 25 cases,15 cases were Ⅱ grade,10 cases were Ⅲ grade,the operation time was 48 to 65 minutes,the average was 55.5 minutes.The difficult degrees in the operation process were 111 cases of Ⅰ grade,22 cases of Ⅱ grade,17 cases of Ⅲ grade,2 patients were converted to open surgery.The difficult degree score of preoperative B ultrasound and the intranperative difficult degree score were compared,the difference was no statistically significant(P>0.05).Conclusion:The preoperative abdominal B ultrasound can predict the difficult degree of laparoscopic cholecystectomy in the treatment of gallbladder diseases,and it can guide the surgical doctor to know fairly well during operation.

关键词

腹部B超/腹腔镜胆囊切除术/难易程度/预测

Key words

Abdominal B ultrasound/Laparoscopic cholecystectomy/Difficult degree/Prediction

引用本文复制引用

钟瑞芳,李嫣妮,蓝焰,萧利霞,杨桂兰,郑美容,吴丽萍..腹腔镜胆囊切除术前腹部B超对手术难易程度的预测[J].中国社区医师,2015,31(33):97,99,2.

中国社区医师

1007-614X

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