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梗阻性黄疸病人术中胆道造影体会
引用本文:王梦炎 孙刚 贺夫林. 梗阻性黄疸病人术中胆道造影体会[J]. 中原医刊, 2007, 34(11): 24-25
作者姓名:王梦炎 孙刚 贺夫林
作者单位:解放军第一一三医院普外科,浙江宁波315040
摘    要:
目的探讨梗阻性黄疸病人术中胆道造影的应用价值。方法回顾性分析2003年3月至2006年10月420例梗阻性黄疸术中造影患者的临床资料。结果术中胆道造影420例,均系梗阻性黄疸病例,均行术中造影,术后证实胆道多发结石391例,胆道肿瘤15例(其中肝门部胆管癌5例,壶腹部肿瘤10例),Mirizzi综合征6例,胆道畸形5例,胆总管下端炎性狭窄3例。胆道结石者取石结束后再次造影发现胆道残余结石26例。结论术中胆道造影对梗阻性黄疸病例具有很好的诊断价值,对手术方法的选择有很好的帮助。

关 键 词:梗阻性黄疸 胆道造影
修稿时间:2007-02-10

Intraoperative cholangiography for patients with obstructive jaudice
WANG Mengyan ,SUN Gang ,HE Fulin.. Intraoperative cholangiography for patients with obstructive jaudice[J]. Central Plains Medical Journal, 2007, 34(11): 24-25
Authors:WANG Mengyan   SUN Gang   HE Fulin.
Affiliation:Department of General Surgery, NO. 113 Hospital of PLA, Ningbo 315040, Zhejiang
Abstract:
Objective To evaluate the actual value of intraoperative cholangiography for patients with obstructive jaudice.Methods The patients during 2003-2006 years with obstructive jaudice by intraoperative cholangiography were retrospective analyzed.Results All 420 cases with obstructive jaudice underwent intraoperative cholangiography.391 of them were choledocholith;15 were bile duct tumor(inclding 5 cases of cholangio carcinoma and 10 cases of ampullary tumors);8 were Mirizzi sydrome;5 were bile duct malformation;3 were inferior segmental choledochus.Conclusion Intraoperative cholangiography for patients with obstructive jaudice have actual diagnosis value,also are helpful for the choice of operative methods.
Keywords:Ostructive jaudice   Intraoperative cholangiography
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