超声检查对腹腔镜胆囊切除术难度的预测价值 |
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引用本文: | 王晶明,沈君礼,白新艳,丁蓉,袁雪红. 超声检查对腹腔镜胆囊切除术难度的预测价值[J]. 腹腔镜外科杂志, 2011, 16(5): 374-376. DOI: 10.3969/j.issn.1009-6612.2011.05.024 |
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作者姓名: | 王晶明 沈君礼 白新艳 丁蓉 袁雪红 |
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作者单位: | 解放军第451医院,陕西,西安,710054 |
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摘 要: | 目的:评价术前超声检查对预测慢性胆囊炎患者行腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)难度的应用价值.方法:793例患者因慢性胆囊炎行LC,术前超声检查对胆囊轮廓、胆囊颈部、囊壁厚度、囊壁回声、囊内回声情况进行综合分析,评估胆囊周围、Calot三角区的粘连程度,并与手术病理进行对...
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关 键 词: | 胆囊炎 胆囊切除术,腹腔镜 超声检查 |
Value of preoperative sonography in predicting difficulties of laparoscopic cholecystectomy |
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Affiliation: | WANG Jing-ming,SHEN Jun-li,BAI Xin-yan,et al.Dept.of Ultrasonic Diagnosis,451 Hospital of PLA,Xi’an 710054,China |
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Abstract: | Objective:To discuss the value of preoperative ultrasound in predicting possible difficulties of laparoscopic cholecystectomy(LC).Methods:A total of 793 patients with chronic cholecystitis received ultrasonography examination.Before LC,the gallbladders were comprehensively examined to observe the contour,gallbladder necks,wall thickness,wall echoes,intra-cyst echoes in these patients.Preoperative data and intraoperative data were compared to access pericholecystic and Calot triangular area adherence.Results:Sensitivity,specificity and accuracy of preoperative sonography for predicting the difficulty of LC was 91.32%,97.51% and 95.08%,respectively.Conclusions:Preoperative ultrasonography is valuable for predicting difficulties during LC. |
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Keywords: | Cholecystitis Cholecystectomy,laparoscopic Ultrasonography |
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