CAJ | 학술논문

目的:探讨腹部B超对腹腔镜胆囊切除术难易程度的预测准确性.方法:收治胆囊疾病患者140例,所有患者均给予 B 超检查,给予 LC 胆囊切除术治疗.结果:术前 B 超检查声像图表现无复杂情况 115 例(Ⅰ级),手术均顺利,手术时间18~45 min,平均34.5 min.术前B超检查声像图表现复杂25例,其中Ⅱ级15例,Ⅲ级10例,手术时间48~65 min,平均55.5 min.手术过程中难易程度Ⅰ级111例,Ⅱ级22例,Ⅲ级17例,其中有2例患者中转开腹治疗.术前B超难易程度评分与术中难易程度评分比较,差异无统计学意义(P>0.05).结论:术前腹部B超检查能够预测腹腔镜胆囊切除术治疗胆囊疾病的难易程度,指导手术医师手术中心中有数.
목적:탐토복부B초대복강경담낭절제술난역정도적예측준학성.방법:수치담낭질병환자140례,소유환자균급여 B 초검사,급여 LC 담낭절제술치료.결과:술전 B 초검사성상도표현무복잡정황 115 례(Ⅰ급),수술균순리,수술시간18~45 min,평균34.5 min.술전B초검사성상도표현복잡25례,기중Ⅱ급15례,Ⅲ급10례,수술시간48~65 min,평균55.5 min.수술과정중난역정도Ⅰ급111례,Ⅱ급22례,Ⅲ급17례,기중유2례환자중전개복치료.술전B초난역정도평분여술중난역정도평분비교,차이무통계학의의(P>0.05).결론:술전복부B초검사능구예측복강경담낭절제술치료담낭질병적난역정도,지도수술의사수술중심중유수.
Objective:To explore the predictive accuracy of difficult degree of the abdominal B ultrasound for laparoscopic cholecystectomy.Methods:140 patients with gallbladder diseases were selected.All patients were given B ultrasound examination. The patients were given LC cholecystectomy treatment.Results:The preoperative B ultrasound examination sonographic characteristics were no complicated conditions in 115 cases(Ⅰ grade),the operations were performed smoothly,the operation time was 18 to 45 minutes,the average was 34.5 minutes.The preoperative B ultrasound examination sonographic characteristics were complex in 25 cases,15 cases were Ⅱ grade,10 cases were Ⅲ grade,the operation time was 48 to 65 minutes,the average was 55.5 minutes.The difficult degrees in the operation process were 111 cases of Ⅰ grade,22 cases of Ⅱ grade,17 cases of Ⅲ grade,2 patients were converted to open surgery.The difficult degree score of preoperative B ultrasound and the intranperative difficult degree score were compared,the difference was no statistically significant(P>0.05).Conclusion:The preoperative abdominal B ultrasound can predict the difficult degree of laparoscopic cholecystectomy in the treatment of gallbladder diseases,and it can guide the surgical doctor to know fairly well during operation.