CAJ | 학술논문

目的探讨螺旋CT三维胆道成像在腹腔镜胆囊切除术前对胆道结构的评估.方法回顾性分析2009年5月-2012年4月胆囊结石合并胆总管结石患者60例,先行内镜下逆行胰胆管造影、内镜下乳头括约肌切开术及内镜下鼻胆引流术,通过鼻胆引流管行螺旋CT三维胆道成像,评价螺旋CT 三维胆道成像图像质量,了解胆道树结构,再行腹腔镜胆囊切除术.结果螺旋CT三维胆道成像60例,胆总管、肝总管、左右肝管显影60例,显影率100％,胆囊管显影45例,显影率为75％,可清晰显示胆囊管的走行及汇入胆总管的位置.结论螺旋CT 三维胆道成像可清晰显示胆道树结构,尤其是胆囊管的走行,为腹腔镜胆囊切除术中判断胆道树结构及胆囊管走行,防止胆道损伤有一定的指导意义.
목적 탐토라선CT삼유담도성상재복강경담낭절제술전대담도결구적평고.방법 회고성분석2009년5월-2012년4월담낭결석합병담총관결석환자60례,선행내경하역행이담관조영、내경하유두괄약기절개술급내경하비담인류술,통과비담인류관행라선CT삼유담도성상,평개라선CT 삼유담도성상도상질량,료해담도수결구,재행복강경담낭절제술.결과 라선CT삼유담도성상60례,담총관、간총관、좌우간관현영60례,현영솔100％,담낭관현영45례,현영솔위75％,가청석현시담낭관적주행급회입담총관적위치.결론 라선CT 삼유담도성상가청석현시담도수결구,우기시담낭관적주행,위복강경담낭절제술중판단담도수결구급담낭관주행,방지담도손상유일정적지도의의.
Objective To evaluate of three-dimensional spiral CT cholangiography to bile duct configuration before laparoscopic cholecystectomy.Methods A retrospective analysis was performed for 60 patients with cholelithiasts concurrent with choledocholithiasis from May 2009 to April 2012,which were treated with endoscopic retrograde cholangiopancreatography (ERCP),endoscopic sphincterotomy (EST),and endoscopic nasobiliary drainage (ENBD),then three-dimensional spiral CT cholangiography(SCTC) was performed through endoscopic nasobiliary drainage (ENBD) tube,and the bile duct tree image of SCTC was evaluated,then laparoscopic cholecystectomy (LC) was carried out.Results Sixty cases were performed three-dimensional SCTC.The left and right hepatic bile ducts,the hepatic bile duct and the common bile duct were visible in 100％ patients,and cholecyst bile duct was visible in 75％patients,and three-dimensional SCTC can tell the position of cholecyst duct and the place where the cholecyst bile duct enteres into the common bile duct.Conclusion Three-dimensional SCTC can show the shape of bile duct tree,especially the cholecyst duct,and has some guidance values to judge the structure of the bile duct tree and the configuration of cholecyst bile duct during operation,which can decrease the possibility of bile duct injure.