核磁共振胰胆管水成像对腹腔镜胆囊切除术后综合征的诊断价值

目的：探讨磁共振胰胆管水成像(MRCP)对腹腔镜胆囊切除术(LC)后发生胆囊切除综合征(PCS)的诊断价值。方法：对比分析26例LC术后出现PCS和11例未出现PCS的患者的MRCP表现。结果：PCS组的胆总管扩张的发生率为65．38％(17／26)，对照组为18．18％(2／11)。PCS组的胆囊管残留过长的发生率为53．85％(14／26)，对照组为18．18％(2／11)。PCS组胆道结石的发生率为30．76％(8／26)，对照组为0％(0／11)。PCS组1例(3．84％)有胆总管狭窄，对照组没有。结论：对于诊断LC术后出现的PCS，MRCP是一种十分有效的检查方法。

The diagnostic value of magnetic resonance cholangiopancreatography in patients who suffered from postcholecystectomy syndrome after laparoscopic cholecystectomy

Objective:To assess the diagnostic value of magnetic resonance cholangiopancreatography (MRCP) in patients who suffered from postcholecystectomy syndrome (PCS) after laparoscopic cholecystectomy (LC).Methods:The MRCP images of 26 patients who suffered from PCS after LC and 11 patients who didn't suffer from PCS were compared and analyzed.Results:In PCS group, dilation of common bile duct (CBD) was observed in 17 cases (65.38%, 17 in 26), overlength of bile ducts that were remained after LC was observed in 14 cases (53.85%, 14 in 26), bile duct lithiasis was observed in 8 cases (30.76%, 8 in 26). While, in control group, only 18 18% (2 in 11) cases showed dilation of CBD and 18.18% (2 in 11) cases showed overlength of remnant bile duct, no lithiasis case was found. One patient (3.84%) was found with bile duct stricture in PCS group, nobody was found in control group.Conclusion:The MRCP is a valuable method in diagnosis PCS.