CAJ | 학술논문

目的：对磁共振胆胰管成像( MRCP)在腹腔镜胆囊切除术( LC)手术前评估手术难易程度的效果进行分析。方法在我院2011年3月至2012年7月间收治的全部胆道疾病患者中，随机选择110例胆囊结石患者进行研究，全部病例均使用LC手术，术前进行MRCP检查。将真性胆囊息肉LC切除术的平均手术时间30 min作为评判标准，手术时间不超过30 min为正常手术，超过30 min为有一定难度的LC手术。对患者的年龄、性别、位置、胆囊体积、胆囊管的角度、胆囊壁厚度、胆囊周围的情况、胆囊管的长度、胆囊颈部是否存在结石等情况和LC手术难易程度的相关性进行分析。结果 LC手术的难易程度和患者胆囊管的长度、胆囊颈部是否存在结石有一定的相关性，和患者的年龄、性别、胆囊体积、位置、胆囊管的角度、胆囊壁厚度、胆囊周围的情况无相关性。结论在术前对患者进行常规MRCP检测，对LC手术难易程度的预测有着重要的指导意义。
목적：대자공진담이관성상( MRCP)재복강경담낭절제술( LC)수술전평고수술난역정도적효과진행분석。방법재아원2011년3월지2012년7월간수치적전부담도질병환자중，수궤선택110례담낭결석환자진행연구，전부병례균사용LC수술，술전진행MRCP검사。장진성담낭식육LC절제술적평균수술시간30 min작위평판표준，수술시간불초과30 min위정상수술，초과30 min위유일정난도적LC수술。대환자적년령、성별、위치、담낭체적、담낭관적각도、담낭벽후도、담낭주위적정황、담낭관적장도、담낭경부시부존재결석등정황화LC수술난역정도적상관성진행분석。결과 LC수술적난역정도화환자담낭관적장도、담낭경부시부존재결석유일정적상관성，화환자적년령、성별、담낭체적、위치、담낭관적각도、담낭벽후도、담낭주위적정황무상관성。결론재술전대환자진행상규MRCP검측，대LC수술난역정도적예측유착중요적지도의의。
Objective To study the effect of MRCP for operation difficulty assessment before laparoscopic cholecystectomy. Methods 110 patients with gallbladder stone were randomly selected from March 2011 to July 2012 in our hospital,and all the patients were given LC operation after examined by MRCP. Regarded the average operation time 30 min as a criterion,when the operation time was no more than 30 min,the operation was considered as normal operation;when the operation time was more than 30 min, the operation was considered as op-eration of a certain degree of difficulty. Made a correlation analysis between LC operation difficulty and age,gender,location,volume of gall-bladder,angle of ductus cysticus, thickness of gallbladder wall, circumstances surrounding the cystic duct, length of ductus cysticus, and whether there were calculus in the cervical part of gallbladder. Results The difficulty level of LC operation is related to length of ductus cys-ticus and whether there were calculus in the cervical part of gallbladder,and there is no correlation with age,gender,location,volume of gall-bladder,angle of ductus cysticus,thickness of gallbladder wall,circumstances surrounding the cystic duct. Conclusion Routinely MRCP test in preoperative patients is of important significance to the prediction of LC operation difficulty.