胆囊结石术前MRCP指征的探讨

http://www.100md.com 2010年4月15日 《中国实用医药》2010年第11期

     【摘要】 目的 探讨胆囊结石术前MRCP指征。方法 将220例胆囊结石患者分为高危因素组和对照组,术前均行MRCP。结果 220例胆囊结石患者均行胆囊切除术或加胆道探查术,高危因素组MRCP发现胆总管结石47例(35.9%),手术证实46例,对照组发现1例(1.1%),手术证实1例。结论 对有高危因素的结石患者术前行MRCP经济有效,可以避免不必要的胆道探查术。

    【关键词】

    胆囊结石; MRCP

    【Abstract】 Objective To explore the application indications of MRCP before cholecystectomy.Methods In accordance with risk factors,220 cases of gallstone were divided into the high-risk groups and the control group,all performed MRCP.Results All 220 cases performed only cholecystectomy or additionally bile duct exploration.By MRCP,47 cases of thehigh-risk group was found choledocholithiasis(35.9%),and one case of control group(1.1 percent),then confirmed 46 cases of the high-risk group and one of the control group with gallston by cholecystectomy.Conclusion MRCP is cost-effective to gallstone patients with high-risk factors before operation,and avoid unnecessary exploration of the bile duct.

    【Key words】

    Gallstone; MRCP

    我院自2005年1月至2008年1月,共收治220例术前行MRCP的胆囊结石患者,现就其结果报告如下 ......