腹腔镜胆囊切除术中选择性胆道造影的临床应用.docVIP

腹腔镜胆囊切除术中选择性胆道造影的临床应用 作者：阿扎提，克力木，于文庆，王自立 　【摘要】 目的：探讨降低腹腔镜胆囊切除术（laparoscopic cholecystectomy,LC)后胆总管残留结石发生率的 方法 及术中胆道造影的价值。方法：对３１５例LC中经胆囊管胆道造影患者临床资料进行回顾性 分析 。结果：术中胆道造影全部成功，其中胆道正常２７６例，胆总管内结石２７例，胆总管下端狭窄１２例。结论：选择性术中胆道造影可避免不必要的胆道探查及胆总管结石残留。 　　【关键词】 胆囊切除术，腹腔镜；胆道造影 　　 The application of selective intraoperative cholangiography in laparoscopic cholecystectomy 　　【Abstract】 Ｏbjective:To explore the method to reduce postoperative residual calculus in the common bile duct(CBD),and investigate the value of intraoperative cholangiography.Methods:Intraoperative cholangiography was performed in 315 patients