腹腔镜超声在腹腔镜胆总管探查术中的应用价值

摘要

目的：探讨腹腔镜超声（LUS）在腹腔镜胆总管探查术（LCBDE）中的临床应用价值。方法47例胆囊结石合并有胆总管扩张或肝功能异常的病例术前行常规超声、CT、磁共振胰胆管造影（MRCP）检查，术中行LUS检查胆道，其诊断结果与胆道镜及手术后诊断对比诊断符合率。结果47例病例中常规超声、C T、M RC P、L U S的诊断符合率分别为85．1％、72．3％、95．7％、100．0％，LUS最高。其中，6例在LUS指导下完成手术，1例中转开腹手术。结论 LUS在LCBDE术中是一种能有效避免胆道损伤和降低术后残石发生的检查方法。%Objective To explore the value of the laparoscopic ultrasonography (LUS) in laparoscopic common bile duct explora-tion(LCBDE) .Methods 47 cases with cholecystolithiasis combined with bile duct dilatation or abnormal liver function were tested by conventional ultrasound ,magnetic resonance cholangiopancreatgraphy (MRCP) CT and LUS after LCBDE .All results were com-pared with the surgical findings and the intraoperative biliary endoscopy results .Results The diagnosis coincidence rate of conven-tional ultrasonography ,CT ,MRCP and LUS in 47 cases were 85 .1% ,72 .3% ,95 .7% ,100 .0% respectively .6 cases completed the surgery under the guidance of LUS ,1 case was converted to open surgery .Conclusion LUS is an examination method to avoid bile duct injury effectively and reduce postoperative residual stone in LCBDE .