Link J, Marienhoff N, Benecke P, Zwaan M, Wenk H
Klinik für Radiologische Diagnostik, Christian-Albrechts-Universität Kiel.
Rofo. 1995 Jan;162(1):20-2. doi: 10.1055/s-2007-1015828.
The increasing use of minimally invasive techniques for the treatment of symptomatic cholecystitis requires exact preoperative diagnosis. The significant sonographic findings are stones in the biliary system or indirect evidence of stones, consisting in dilatation of the bile duct to more than 10 mm, as well as free mobility of the abdominal wall to exclude peri-umbilical adhesions. Amongst 100 patients who had laparoscopic cholecystectomies there were 7 with bile ducts wider than 10 mm. In two of these cases calculi could also be demonstrated. ERCP was performed on the remaining five and in 3 of these stones were seen. Peri-umbilical adhesions were seen in 6 Patients, resulting in alternative placing of the incision. The sonographic findings which are of relevance to the surgeon were analysed in these 100 cases. A standardised examination protocol is an important feature for proper patient selection.
对于有症状胆囊炎的治疗，微创技术的使用日益增多，这就需要精确的术前诊断。重要的超声检查结果是胆道系统中的结石或结石的间接证据，包括胆管扩张至超过10毫米，以及腹壁的自由活动度以排除脐周粘连。在100例行腹腔镜胆囊切除术的患者中，有7例胆管宽度超过10毫米。其中2例也发现了结石。其余5例进行了内镜逆行胰胆管造影（ERCP），其中3例发现了结石。6例患者出现脐周粘连，导致切口位置改变。对这100例病例中与外科医生相关的超声检查结果进行了分析。标准化的检查方案是正确选择患者的重要特征。
