| MRCP在腹腔镜胆囊切除术前的应用价值分析 |
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| 引用本文： | 陈峰,徐迈宇,潘步建,陈雷,金肖丹. MRCP在腹腔镜胆囊切除术前的应用价值分析[J]. 数理医药学杂志, 2011, 24(1): 41-43 |
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| 作者姓名： | 陈峰 徐迈宇 潘步建 陈雷 金肖丹 |
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| 作者单位： | 温州医学院定理临床学院,温州,325000 |
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| 摘 要： | 目的:讨论磁共振胰胆管成像(MRCP)在腹腔镜胆囊切除术(LC)前的应用价值。方法:分析某院2008年10月~2010年5月拟行腹腔镜胆囊切除术,术前怀疑胆总管结石而行MRCP检查的56例患者的临床诊治资料。结果:经MRCP检查发现胆总管结石15例,其中6例行内镜下乳头括约肌切开术(EST)+LC术,6例行腹腔镜胆囊切除、胆总管切开探查取石术(LC+LCBDE),3例行腹腔镜胆囊切除、经胆囊管胆总管探查取石术(LC+LTCBDE)。未发现胆总管结石的41例仅行LC术,术后3例出现胆管炎表现,经ERCP证实胆总管结石,行EST取石。讨论:腹腔镜胆囊切除术前,对于可疑伴有胆总管结石的胆囊结石病人,MRCP检查具有重要的诊断价值,同时可根据MRCP检查结果,选择不同的微创治疗方法。
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| 关 键 词： | 腹腔镜胆囊切除术 磁共振胰胆管成像 内窥镜逆行胰胆管造影 |
The Applied Value of MRCP before laparoscopic Cholecystectomy |
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| Chen Feng,et al. The Applied Value of MRCP before laparoscopic Cholecystectomy[J]. Journal of Mathematical Medicine, 2011, 24(1): 41-43 |
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| Authors: | Chen Feng et al |
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| Affiliation: | Chen Feng,et al(Dingli faculty of Wenzhou Medical College,Wenzhou 325000) |
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| Abstract: | Objective: To evaluate the applied value of MRCP before LC.Methods: Analyse 56 patients with gallstones and clinically suspected of common bile duct stones which were subjected to MRCP before LC.Results: Fifteen cases of common bile duct stones were found by MRCP.Among them,6 cases were subjected to EST+LC,and 6 cases were subjected to LC+LCBDE,and 3 cases were subjected to LC+LTCBDE.In 41 cases without common bile duct stones found only LC was performed.Among them,3 cases were subjected to EST to remove th... |
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| Keywords: | laparoscopic cholecystectomy magnetic resonance cholangiopancreatography endoscopic retrograde cholangiopancreatography |
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