超声在微创保胆治疗中的应用分析(1)
【摘要】 目的：探讨分析超声诊断在微创保胆治疗中的临床应用价值。方法：回顾性分析笔者所在医院收治的72例胆囊疾病且行保胆手术治疗患者的临床资料，术前均进行常规腹部(肝、胆、脾、胰)超声检查及脂肪餐后胆囊功能检查，术中进行实时严密监测，术后1个月、3个月、6个月、1年时分别按时进行复查。结果：超声诊断与微创保胆手术结果符合率为94.4%，为腹腔镜微创保胆手术准确地提供了诊断依据，并可客观评价微创保胆手术的临床效果。结论：通过超声检查可以对于胆囊、胆道及其周围组织的情况进行清楚了解，从形态、结构、功能等的总体评估及手术效果的评估具有重要的意义，该方式具有极大的推广应用价值。
【关键词】 超声诊断； 微创保胆手术
中图分类号 R445.1 文献标识码 B 文章编号 1674-6805(2014)28-0057-02
Application Analysis of Ultrasound Diagnosis in the Treatment of Minimally Invasive Gallbladder Surgery/LI Yun，HOU Xiao-qiong，LONG Han-zhang.//Chinese and Foreign Medical Research，2014，12(28)：57-58
, 百拇医药
【Abstract】 Objective：To observe and analyze the clinical value of Ultrasound diagnosis applied in the minimally invasive treatment of gallbladder.Method：Retrospectively analyzing of 72 patients with gallbladder disease in the gallbladder surgery in our hospital was presented.Routine ultrasound test of abdomen(liver，gallbladder，spleen，pancreas) and function test of gallbladder after fat meal were carried out before the surgery.During the surgery，close monitoring was conducted in real time.Reviewing of 1 month，3 months，6 months and 1 year after the surgery were carried out on time.Result：The compliance rate of ultrasound diagnosis in minimally invasive gallbladder surgery was 94.4%，providing a basis for the diagnosis of minimally invasive laparoscopic gallbladder surgery and for objective evaluation of the clinical effects of gallbladder surgery.Conclusion：We can know the situation of the gallbladder，biliary tract and surrounding tissue clearly by ultrasound test.Overall assessment of morphology，structure，function and the effect of surgery is of important significance.So the method is worth of being promoted.
, 百拇医药
【Key words】 Ultrasound diagnosis； Minimally invasive gallbladder surgery
First-author’s address：Nancheng Hospital of Dongguan City，Dongguan 523071，China
胆囊疾病是世界范围内的常见病和多发病，我国的该类患者具有较大比例，接近7%[1-2]。该病严重影响患者健康和正常生活，严重时危及生命。胆囊疾病一般是进行手术治疗的同时辅以药物治疗，治疗前必须探明病情。近年来，随着腹腔镜技术和微创理念的发展，经内镜微创保胆手术已广泛开展。截止目前，超声是最为经济与简便的检测方法，具有极高的准确率，该方式对胆囊的探查和胆囊疾病的术前诊断、术中的实时观察及术后的随访起着不可忽视的重大作用[3-5]。笔者所在医院积极进行该项研究，对72例拟行微创保胆的患者进行术前、术中、术后检查，积累了一定的经验。现报告如下。
, 百拇医药
1 资料与方法
1.1 一般资料
本研究时间范围为2012年3月-2013年3月，研究对象为此期间笔者所在医院收治的胆囊疾病拟行保胆术患者，共计72例。入选标准：胆囊壁厚度<4 mm，胆囊壁的回声比较均匀，无双边影。胆汁为液性，且无回声暗区，透声好。胆囊息肉、胆囊癌、胆囊腺肌病、胆囊附壁结石、胆囊腺瘤及胆囊泥沙样的结石和胆囊炎。其中男32例，女40例，年龄21～53岁，平均(37.2±5.2)岁；病程0.2～14年，平均(8.5±3.2)年。
1.2 仪器设备
采用日立HITACHI二郎神GEV730彩超对患者进行检查，仪器的探头频率控制为3.5～5.0 MHz。
1.3 检查方法, 百拇医药(李云 侯小琼 龙汉章)
【关键词】 超声诊断； 微创保胆手术
中图分类号 R445.1 文献标识码 B 文章编号 1674-6805(2014)28-0057-02
Application Analysis of Ultrasound Diagnosis in the Treatment of Minimally Invasive Gallbladder Surgery/LI Yun，HOU Xiao-qiong，LONG Han-zhang.//Chinese and Foreign Medical Research，2014，12(28)：57-58
, 百拇医药
【Abstract】 Objective：To observe and analyze the clinical value of Ultrasound diagnosis applied in the minimally invasive treatment of gallbladder.Method：Retrospectively analyzing of 72 patients with gallbladder disease in the gallbladder surgery in our hospital was presented.Routine ultrasound test of abdomen(liver，gallbladder，spleen，pancreas) and function test of gallbladder after fat meal were carried out before the surgery.During the surgery，close monitoring was conducted in real time.Reviewing of 1 month，3 months，6 months and 1 year after the surgery were carried out on time.Result：The compliance rate of ultrasound diagnosis in minimally invasive gallbladder surgery was 94.4%，providing a basis for the diagnosis of minimally invasive laparoscopic gallbladder surgery and for objective evaluation of the clinical effects of gallbladder surgery.Conclusion：We can know the situation of the gallbladder，biliary tract and surrounding tissue clearly by ultrasound test.Overall assessment of morphology，structure，function and the effect of surgery is of important significance.So the method is worth of being promoted.
, 百拇医药
【Key words】 Ultrasound diagnosis； Minimally invasive gallbladder surgery
First-author’s address：Nancheng Hospital of Dongguan City，Dongguan 523071，China
胆囊疾病是世界范围内的常见病和多发病，我国的该类患者具有较大比例，接近7%[1-2]。该病严重影响患者健康和正常生活，严重时危及生命。胆囊疾病一般是进行手术治疗的同时辅以药物治疗，治疗前必须探明病情。近年来，随着腹腔镜技术和微创理念的发展，经内镜微创保胆手术已广泛开展。截止目前，超声是最为经济与简便的检测方法，具有极高的准确率，该方式对胆囊的探查和胆囊疾病的术前诊断、术中的实时观察及术后的随访起着不可忽视的重大作用[3-5]。笔者所在医院积极进行该项研究，对72例拟行微创保胆的患者进行术前、术中、术后检查，积累了一定的经验。现报告如下。
, 百拇医药
1 资料与方法
1.1 一般资料
本研究时间范围为2012年3月-2013年3月，研究对象为此期间笔者所在医院收治的胆囊疾病拟行保胆术患者，共计72例。入选标准：胆囊壁厚度<4 mm，胆囊壁的回声比较均匀，无双边影。胆汁为液性，且无回声暗区，透声好。胆囊息肉、胆囊癌、胆囊腺肌病、胆囊附壁结石、胆囊腺瘤及胆囊泥沙样的结石和胆囊炎。其中男32例，女40例，年龄21～53岁，平均(37.2±5.2)岁；病程0.2～14年，平均(8.5±3.2)年。
1.2 仪器设备
采用日立HITACHI二郎神GEV730彩超对患者进行检查，仪器的探头频率控制为3.5～5.0 MHz。
1.3 检查方法, 百拇医药(李云 侯小琼 龙汉章)