CAJ | 학술논문

目的：探讨腹腔镜胆囊切除术术前超声诊断的临床效果。方法：对128例术前超声诊断后行腹腔镜胆囊切除术患者的超声检查结果及术后病理资料进行对比分析。结果：超声评估手术困难患者45例，实际手术中手术困难患者43例，其符合率达95．56％。此外，手术困难组与非手术困难组转开腹率、并发症率、胆囊壁厚度等参数均存在显著性差异（P＜0．05）。结论：术前超声诊断可有效预测腹腔镜胆囊切除术的施术难度，对降低手术并发症，改善转开腹率具有重要临床价值。
목적：탐토복강경담낭절제술술전초성진단적림상효과。방법：대128례술전초성진단후행복강경담낭절제술환자적초성검사결과급술후병리자료진행대비분석。결과：초성평고수술곤난환자45례，실제수술중수술곤난환자43례，기부합솔체95．56％。차외，수술곤난조여비수술곤난조전개복솔、병발증솔、담낭벽후도등삼수균존재현저성차이（P＜0．05）。결론：술전초성진단가유효예측복강경담낭절제술적시술난도，대강저수술병발증，개선전개복솔구유중요림상개치。
Objective:To analyze the clinical effect of ultrasonography before laparoscopic cholecystecto‐my. Methods :retrospective analysis of our hospital from 2013 March to 2014 March received preoperative ultra‐sound diagnosis of 128 cases underwent laparoscopic cholecystectomy in patients with ultrasound examination and postoperative pathologic data. Results :the ultrasound assessment of patients with difficult operation in 45 cases, the actual operation was determined with difficulty of operation in 43 cases, the coincidence rate reached 95. 56%. In ad‐dition, difficult operation group and non operation group, the rate of difficult to abdominal complication, gallbladder wall thickness were significant differences (P<0. 05). Conclusion:ultrasound diagnosis before operation can effec‐tively predict the difficulty of laparoscopic cholecystectomy to reduce operation complication, which has important clinical value, improve the rate of conversion to open.