| 磁共振胆胰管成像中胆囊三角的解剖关系对预测腹腔镜胆囊切除术难度的价值 |
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| 引用本文： | 孙荣勋,张华云,吉学生,俞建平,石长青,章勇,李吉,陈润浩.磁共振胆胰管成像中胆囊三角的解剖关系对预测腹腔镜胆囊切除术难度的价值[J].中国临床医学,2011,18(1):66-68. |
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| 作者姓名： | 孙荣勋 张华云 吉学生 俞建平 石长青 章勇 李吉 陈润浩 |
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| 作者单位： | 1. 复旦大学附属金山医院普外科,上海,200540
2. 复旦大学附属金山医院放射科,上海,200540 |
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| 摘 要： | 目的：探讨磁共振胆胰管成像（MRCP）中胆囊三角解剖结构的显像对预测腹腔镜胆囊切除术（LC）手术难度的价值。方法：对232例LC病例术前行MRCP检查,记录胆囊管能否显示、胆囊管开口位置、胆囊壶腹和胆囊管的毗邻关系、壶腹部胆囊壁厚度、胆囊壶腹和胆总管的毗邻关系、胆囊颈部有无结石嵌顿、胆囊内有无胆汁,将这些变量与胆囊三角的解剖时间做Logistic回归分析。结果：MRCP中胆囊管显示不清胆囊壶腹和胆囊管的、兔尾型毗邻关系、胆囊管开口于壶腹中份、壶腹部胆囊壁增厚均能提示手术难度增加。结论：MRCP中胆囊三角结构显像能预测LC手术难度。
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| 关 键 词： | 磁共振胆胰管成像 腹腔镜胆囊切除术 胆囊管 胆囊三角 |
Role of MRCP Imaging of Gallbladder Triangle in Predicting Difficulty of Laparoscopic Cholecystectomy |
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| SUN Rongxun,ZHANG Huayun,JI Xuesheng,YU Jianping,SHI Changqing,ZHANG Yong,LI Ji,CHEN Runhao.Role of MRCP Imaging of Gallbladder Triangle in Predicting Difficulty of Laparoscopic Cholecystectomy[J].Chinese Journal Of Clinical Medicine,2011,18(1):66-68. |
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| Authors: | SUN Rongxun ZHANG Huayun JI Xuesheng YU Jianping SHI Changqing ZHANG Yong LI Ji CHEN Runhao |
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| Institution: | SUN Rongxun ZHANG Huayun JI Xuesheng YU Jianping SHI Changqing ZHANG Yong LI Ji CHEN Runhao Department of General surgery,Department of Radiology,Jinshan Hospital Fudan University,Shanghai 200540,China |
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| Abstract: | Objective:To evaluate MRCP imaging of gallbladder triangle in predicting difficulty of laparoscopic cholecystectomy.Methods:A total of 232 patients received MRCP examination,and the following data were recorded: presence of cystic duct imaging,location of cystic duct entrance,relationship between cystic ampullae and cystic duct,presence of stone incarceration in cystic cervix,thickness of cystic ampullae wall,relationship between cystic ampullae and common bile duct,presence of bile imaging in cyst.Logistic... |
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| Keywords: | Magnetic resonance cholangiopancreatography Laparosccopic cholecystectomy Cystic duct Gallbladder triangle |
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