CAJ | 학술논문

目的探讨腹腔镜胆囊切除术前螺旋CT三维胆道成像对胆道损伤的预防作用.方法回顾性分析2007年7月至2009年6月期间,胆囊结石合并胆总管结石的患者30例,先行内镜下乳头括约肌切开术取出胆总管结石,通过鼻胆引流管行螺旋CT三维胆道成像,之后行腹腔镜胆囊切除术,评价螺旋CT三维胆道成像对胆道损伤的预防作用.结果螺旋CT三维胆道成像胆总管、肝总管、左右肝管显影率100%,胆囊管显影率为73%,可清晰显示胆囊管的走行及汇入胆总管的位置,所有患者未发生胆道损伤.结论腹腔镜胆囊切除术前行螺旋CT三维胆道成像可以减少术中胆道损伤.
목적 탐토복강경담낭절제술전라선CT삼유담도성상대담도손상적예방작용.방법 회고성분석2007년7월지2009년6월기간,담낭결석합병담총관결석적환자30례,선행내경하유두괄약기절개술취출담총관결석,통과비담인류관행라선CT삼유담도성상,지후행복강경담낭절제술,평개라선CT삼유담도성상대담도손상적예방작용.결과 라선CT삼유담도성상담총관、간총관、좌우간관현영솔100%,담낭관현영솔위73%,가청석현시담낭관적주행급회입담총관적위치,소유환자미발생담도손상.결론 복강경담낭절제술전행라선CT삼유담도성상가이감소술중담도손상.
Objective To study the preventive effect of biliary duct injury(BDI)of three-dimensional spiral CT cholangiography(SCTC)before laparoscopic cholecystectomy(LC).Methods A retrospective analysis was carried out for 30 patients suffering from cholelithiasts concurrent with choledocholithiasis from July 2007 to June 2009.EAndoscopic sphincterotomy(EST),then three-dimensional SCTC was carried out through endoscop-ic nasobiliary drainage(ENBD)before IX,and the preventive effect of BDI was evaluated.Results The visibility of intra-hepatic bile duct,the hepatic bile duct and the common bile duct were 100% the visibility of chol-ecyst bile duct was 73% ,and three-dimensional SCTC can tell the position of cholecyst duct,BDI was not happened in all these patients.Conclusion Three-dimensional SCTC before LC can decrease the possibility of BDI.