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术前超声检查对腹腔镜胆囊切除术中技术难度及并发症的预测价值
引用本文:兰竹,韦长征,田妮. 术前超声检查对腹腔镜胆囊切除术中技术难度及并发症的预测价值[J]. 中国普外基础与临床杂志, 1998, 0(2)
作者姓名:兰竹  韦长征  田妮
作者单位:第三军医大学附属西南医院肝胆科
摘    要:为评估术前超声检查对腹腔镜胆囊切除术中技术难度及并发症的预测价值,对328例有症状的胆囊结石患者于腹腔镜胆囊切除(LC)前1~3天作超声检查,记录胆囊容积、囊壁厚度、囊颈位置、囊内结石活动度、结石最大径和胆囊粘连等6个参数,并据此对手术技术难度作出预测。结果:预测为容易、困难与极难所占比例分别为38%、48%及14%,与术中术者的判定结果相吻合。其中,结石活动度及粘连存在与否均分别与手术难度有显著的相关性(P<0.01)。由此表明,术前超声检查对腹腔镜胆囊切除术有较大价值,有助于判断术中技术难度。

关 键 词:超声检查  腹腔镜胆囊切除术

THE VALUE OF PREOPERATIVE ULTRASONOGRAPHY FOR PREDICTING TECHNICAL DIFFICULTIES AND COMPLICATIONS DURING LAPAROSCOPIC CHOLECYSTECTOMY
Lan Zhu,Wei Changzheng,Tian Ni. Laparoscopic Cholecystectomy Department Southwest Hospital,The Third Military Medical University,Chongqing. THE VALUE OF PREOPERATIVE ULTRASONOGRAPHY FOR PREDICTING TECHNICAL DIFFICULTIES AND COMPLICATIONS DURING LAPAROSCOPIC CHOLECYSTECTOMY[J]. Chinese Journal of Bases and Clinics In General Surgery, 1998, 0(2)
Authors:Lan Zhu  Wei Changzheng  Tian Ni. Laparoscopic Cholecystectomy Department Southwest Hospital  The Third Military Medical University  Chongqing
Affiliation:Lan Zhu,Wei Changzheng,Tian Ni. Laparoscopic Cholecystectomy Department Southwest Hospital,The Third Military Medical University,Chongqing 400038
Abstract:
Keywords:Ultrasonography Laparoscopic cholecystectomy  
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