CAJ | 학술논문

目的探讨胆囊切除术时经胆囊管作胆道造影对胆道结石病人的应用价值。方法回顾分析442例患有胆囊胆道结石的病人作经胆囊管胆道造影的情况。结果 442例病人中，假阳性3例，假阴性1例，诊断准确率达99.1％。结论对胆囊胆道结石病人，特别是具有胆总管相对探查指征的病人，常规作术中经胆囊管胆道造影可降低胆道残余结石发生率，减少胆道损伤，避免不必要的胆总管探查。
목적탐토담낭절제술시경담낭관작담도조영대담도결석병인적응용개치。방법회고분석442례환유담낭담도결석적병인작경담낭관담도조영적정황。결과 442례병인중，가양성3례，가음성1례，진단준학솔체99.1％。결론대담낭담도결석병인，특별시구유담총관상대탐사지정적병인，상규작술중경담낭관담도조영가강저담도잔여결석발생솔，감소담도손상，피면불필요적담총관탐사。
Objective To evaluate the application of intra-operative cholangiography in cholecystectomy. Methods A total of 442 patients with biliary calculi underwent cholecystotomy were reviewed. Results Of the 442 cases, 3 were false positive and 1 was false negative radiologically. The accuracy rate was 99.1％. Conclusion The results suggested that the application of intra-operative cholangiography could decrease the incidence of residual calculi and avoid unnessary exploration and trauma of the common bile duct.