CAJ | 학술논문

目的：探讨胆囊结石患者术前MRCP检查的必要性。方法：回顾分析83例无明显胆总管结石高危因素的胆囊结石患者行LC术前的常规彩超、MRCP检查结果和手术结果确认比较。结果：83例无胆总管结石高危因素的患者经MRCP检查出胆总管结石5例，术中胆道探查阳性率100%，无手术并发症。结论：对于无胆总管结石高危因素的胆囊结石患者术前常规行MRCP检查是必要的，可以及时发现隐匿性胆总管结石，减少胆总管结石的漏诊，同时也将减少胆道损伤的并发症。
목적：탐토담낭결석환자술전MRCP검사적필요성。방법：회고분석83례무명현담총관결석고위인소적담낭결석환자행LC술전적상규채초、MRCP검사결과화수술결과학인비교。결과：83례무담총관결석고위인소적환자경MRCP검사출담총관결석5례，술중담도탐사양성솔100%，무수술병발증。결론：대우무담총관결석고위인소적담낭결석환자술전상규행MRCP검사시필요적，가이급시발현은닉성담총관결석，감소담총관결석적루진，동시야장감소담도손상적병발증。
Objective:To discuss the value of MRCP examination before laparoscpic cholecystectomy(LC) of patients who had cholecystolithiasis. Methods: Retrospective analysis 83 cholecystolithiasis cases who had no high risk factor of choledocholithiasis, we used ultrasound and MRCP as a routine examination for all cases before LC and contrasted with the operation results. Results: 5 choledocholithiasis cases had been found from the 83 cholecystolithiasis cases who had no high risk factor of choledocholith, the positive rate of intra-operative exploration for bile common duct was 100%, and no complication of the operation. Conclussion:It is too necessary to use MRCP examination before LC of patients who had cholecystolithiasisy, which can reduce misdiagnosis of choledocholithiasis, and reduce the complication of the operation.