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目的 探讨临床诊断为单纯胆囊病变拟行单纯胆囊切除术中胆道造影的价值。方法分析 90 4例术前诊断为胆囊结石、胆囊息肉样病变的患者在胆囊切除术中胆道造影发现胆道病变、变异的情况。结果 在 90 4例中通过术中胆道造影发现胆总管结石 79例、胰胆管合流异常 2 1例、胆囊管冗长 11例、胆囊管异常开口 17例、右侧副肝管 4例。结论 术前临床诊断为单纯胆囊病变行单纯胆囊切除时术中胆道造影可以发现术前未能确诊的胆总管结石 ,避免胆道二次探查 ,并有利于胰胆管合流异常和胆道解剖变异的诊断。
Objective To investigate the value of cholangiography in simple cholecystectomy for the diagnosis of simple gallbladder disease in clinical diagnosis. Methods 904 cases of cholecystolithiasis and gallbladder polypoid lesions were diagnosed by cholangiography during cholecystectomy. Results In 904 cases, 79 cases of common bile duct stones, 21 cases of choledocholithiasis, 11 cases of cystic duct redundancy, 17 cases of cystic duct abnormalities and 4 cases of right accessory hepatic duct were detected by intraoperative cholangiography. Conclusion The preoperative clinical diagnosis of simple cholecystitis gallbladder cholecystectomy with intraoperative cholangiography can be found in preoperative undetermined diagnosis of common bile duct stones to avoid bile duct exploration, and is conducive to the diagnosis of pancreaticobiliary anastomosis and biliary anatomical variations.