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分析胆囊切除术时胆管造影检出胆管结石的价值和指征。病例和方法:1988年迄今共行胆囊切除646例。病例分三组,第一组304例兼行胆管造影和探查(造影组);第二组107例未行胆管造影而直接胆道探查(探查组);第三组235例行单纯胆囊切除。结果:第一组胆石检出率为94％;第二组胆石检出率为53％;第三组术后随访有残石2例。结论:术中胆管造影有助于:①降低术后胆道残石率;②避免不必要的胆道探查;③明确胆道解剖变异,有效地预防胆道损伤;④提高对Mirizzi综合征的识别率。
Analysis of cholecystectomy cholangiography detection of bile duct stones value and indications. Cases and methods: So far in 1988, 646 cases of common cholecystectomy. The cases were divided into three groups, the first group of 304 cases of concurrent cholangiography and exploration (angiography group); the second group of 107 cases without direct cholangiopancreatography (exploration group); the third group of 235 cases of simple cholecystectomy. Results: The first group of gallstone detection rate was 94%; the second group of gallstone detection rate was 53%; the third group were followed up with residual stone in 2 cases. Conclusion: Intraoperative cholangiography helps to: ① reduce the rate of postoperative residual bile duct stones; ② avoid unnecessary biliary exploration; ③ clear biliary anatomical variation, effectively prevent biliary injury; ④ improve the recognition rate of Mirizzi syndrome.