腹腔镜超声检查在腹腔镜胆囊切除术中的应用

被引:10
作者
罗丁
杨甲梅
陈训如
毛静熙
李胜宏
周正东
余少明
段作纬
机构
[1] 成都军区昆明总医院军区肝胆外科中心
[2] 第二军医大学东方肝胆外科医院
[3] 成都军区昆明总医
关键词
腹腔镜超声检查; 腹腔镜胆囊切除;
D O I
暂无
中图分类号
R657.4 [胆囊、胆管];
学科分类号
1002 ; 100210 ;
摘要
目的 探讨腹腔镜术中超声( LUS)在腹腔镜胆囊切除术( LC)中的作用以及 LUS对肝外胆道系统的扫描方法。方法 采用彩色多普勒腹腔镜超声仪对 80例胆囊结石患者行 LC术中实时肝外胆道系统扫描。结果 LUS能清晰地显示肝外主胆管的超声图象,对十二指肠下段胆总管的显示采用我们改进后的方法,能简便而满意地获得该部的胆总管超声图象;如何获取胆囊管的完整图象,仍须进一步探讨。结论 LUS能在 LC手术中为术者提供肝外胆道的超声解剖图象,使术者能对肝外主胆管做出准确的术中定位,进而避免术中胆管损伤,也可判断胆总管内有无结石。对手术安全和质量起着重要的辅助作用。
引用
收藏
页码:18 / 20
页数:3
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