选择性应用MRCP在LC术前的临床诊断价值.docVIP

精品论文 参考文献 选择性应用MRCP在LC术前的临床诊断价值 王俊1 陈飞2 　　1江苏省南通市通州区第二人民医院 226300；2江苏省南通市通州区中医院 226300 　　摘要：目的：探讨选择性应用核磁共振胰胆成像技术检查于腹腔镜胆囊切除术前应用的临床价值。方法：选择2012年3月至2015年3月于我院就诊收治的行腹腔镜胆囊切除术患者共计100例进行回顾性分析，依照有无于术前进行核磁共振胰胆成像检查分为两组，包括对照组50例未行术前检查及研究组50例施行术前检查。观察记录研究组病患检查及手术结果，同时对比不同组病患其胆道损伤及胆总管结石残留状况并行统计学分析。结果：研究组术前MRCP检查的Mirizzi综合征、胆囊管变异副胆管及胆总管结石检出例数同手术探查证实例数统计学分析无明显差异，P＞0.05。总检出例数与实际例数相比无明显差异，P＞0.05。研究组病患胆道损伤及术后半年胆总管结石残留发生数显著低于对照组，P＜0.05。结论：腹腔镜胆囊切除术前选择性应用核磁共振胰胆成像检查能显著提升术后治疗效果，具有在临床推广应用的价值。 　　关键词：腹腔镜胆囊切除术；核磁共振胰胆成像；胆道损伤；胆总管结石 　　Abstract：Objective：To investigate the selective application of nuclear magnetic resonance cholangiopancreatography bile imaging examination in peritoneoscope gallbladder excision of the clinical value of preoperative application. Methods：March 2012 to 2015 3 months in our hospital were treated by laparoscopic gallbladder resection in patients with a total of 100 cases were retrospectively analyzed，according to the non nuclear magnetic resonance cholangio pancreatic imaging in the preoperative divided into two groups，including a control group of 50 cases without preoperative examination and research group of 50 cases underwent preoperative examination. Observed and recorded study group patient examination and operation results，and comparison of different groups of disease suffering from bile duct injury and common bile duct stones residue in parallel statistical analysis. Results：MRCP examination before the study group of Mirizzi syndrome，cystic duct variation vice bile duct and common bile duct stones detected cases with surgical exploration confirmed cases of statistical analysis，there was no significant difference（P gt; 0.05）. The total number of detected cases and the actual number of cases showed no significant difference，P gt; 0.05. The study group patients with bile duct injury and six months after operation of residual common bile duct stones incidence was significantly lower than the control group，P lt; 0.05. Conclusion：laparoscopic gallbladder resectio