实用肝脏病杂志2025，Vol.28Issue(4)：625-628,4.DOI:10.3969/j.issn.1672-5069.2025.04.037
MRCP和腹部CT检查术前评估胆囊结石合并胆囊炎患者手术难度价值分析
Magnetic resonance cholangiopancreatography and abdominal CT scan in preoperative evaluation of surgical difficulty in patients with gallstones and cholecystitis
摘要
Abstract
Objective The aim of this study was to investigate magnetic resonance cholangiopancreatography(MRCP)and abdominal CT scan in preoperative evaluation of surgical difficulty in patients with gallstones and cholecystitis.Methods A total of consecutive 102 patients with gallstones and cholecystitis were encountered in our hospital between January 2022 and June 2024,and all underwent laparoscopic cholecystectomy(LC).Prior to operation,all patients received MRCP and abdominal CT scan.Operation difficulty was evaluated according to literature report,and readability of cystic arteries and cystic ducts were assessed based on imaging.Results Of the 102 patients with gallstones and cholecystitis,the imaging showed types of cystic arteries weretype Ⅰ a in 81 cases,type Ⅰ b in 9 cases,type Ⅱ a in 5 cases and type Ⅱ b in 7 cases,with normal shape in 81 cases(79.4％),and abnormal in 21 cases(20.6％);the imaging also showed normal cystic duct shape in 85 cases(83.3％)and abnormal in 17 cases(16.7％);the scores of gallbladder artery display and gallbladder duct display in24 patients with surgical difficulty as assessed pre-operationally were(1.3±0.3)points and(1.4±0.3)points,both significantly lower than[(1.6±0.3)points and(1.7±0.3)points,respectively,P＜0.05]in 78 patients with operation easily,while the gallbladder wall thickness,gallbladder volume and stone diameter were(10.1±2.3)mm,(53.2±8.3)mm3 and(18.2±3.3)mm,all significantly greater than[(7.5±2.1)mm,(46.4±7.1)mm3 and(14.4±5.1)mm,respectively,P＜0.05]in easy operation group.Conclusion MRCP and abdominal CT scan could clearly display anatomic structure around gallbladder artery and cystic duct,which might help evaluate pre-operationally LCdifficulty in patients with gallstones and cholecystitis.关键词
胆囊结石/胆囊炎/磁共振胰胆管成像/腹部CT/术前评估Key words
Gallstone/Cholecystitis/Magnetic resonance cholangiopancreatography/Abdominal CT scan/Preoperative evaluation引用本文复制引用
景超,张宏娟,张力..MRCP和腹部CT检查术前评估胆囊结石合并胆囊炎患者手术难度价值分析[J].实用肝脏病杂志,2025,28(4):625-628,4.基金项目
江苏省南通市科技局科研计划项目(编号:MSZ220182) （编号:MSZ220182）
