摘要
目的：探讨MRCP对腹腔镜胆囊切除术中胆管损伤的诊断价值。方法：分析9例腹腔镜胆囊切除术中胆管损伤的MRCP表现，判断胆管损伤的部位、程度及类型，并与手术结果对照。结果：2例狭窄位于肝总管近端，7例位于胆总管中上段，其中环形狭窄3例，线形狭窄3例，杵状狭窄2例，胆管中断1例。结论：MRCP对腹腔镜胆囊切除术中胆管损伤具有重要的诊断价值。
Abstract
Objective: To study the clinical value of magnetic resonance cholangiopancreatography(MRCP) in the diagnosis of biliary duct injury caused by laparoscopic cholecystectomy. Methods: From January 2000 to September 2006, 9 patients with benign biliary stricture caused by laparoscopic cholecystectomy were examined with MRCP. Among them, 3 cases were male and 6 cases were female, age ranged from 29～65 years. The time of syndrome occurrence after operation was between 1 day and 2 years, of them 6 cases were within one month. Results: The stricture was located in the middle and upper part of common bile duct in 7 cases and in proximal part of extra hepatic duct in 2 cases. The feature of MRCP included circumferential stricture in 3 cases, string-like stricture in 3 cases, club-like stricture in 2 cases and cut-off stricture in 1 case. Conclusion: MRCP has an important value in the diagnosis of biliary duct injury caused by laparoscopic cholecystectomy.
关键词
胆囊切除术 /
腹腔镜 /
胰胆管造影术 /
磁共振
Key words
cholecystectomy /
laparoscopic /
cholangiopancreatography /
magnetic resonance
陈学强;陈平有;罗庆华;徐 蓉;吕长磊.
腹腔镜胆囊切除术中胆管损伤的MRCP分析[J]. 中国临床医学影像杂志. 2007, 18(7): 495-496
CHEN Xue-qiang;CHEN Ping-you;LUO Qing-hua;XU Rong;LV Chang-lei.
Value of MRCP in the diagnosis of biliary duct injury caused by laparoscopic cholecystectomy[J]. Journal of China Clinic Medical Imaging. 2007, 18(7): 495-496
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