胆囊切除术中胆总管探查阴性25例分析

    Negative results for exploration of common bile duct in cholecystectomy in 25 patients

    • 摘要: 目的: 探讨胆囊切除术时胆总管探查阴性的原因。方法: 回顾分析2000年6月~2005年12月25例胆总管探查阴性患者的临床资料。结果: 导致探查阴性的原因有急性水肿性胰腺炎恢复期5例,慢性胰腺炎4例,梗阻性胆囊炎6例,细小胆囊结石3例,胆总管胆汁浑浊6例,胆总管旁淋巴结肿大1例。结论: 胆总管内外因素可引起胆总管探查阴性,术中经胆囊管胆道造影等能减少胆总管的阴性探查。

       

      Abstract: Objective: To investigate the cause of the negative results for exploration of common bile duct in cholecystectomy. Methods: The data from 25 patients with negative results for exploration of common bile duct from June 2000 to December 2005 were analyzed retrospectively. Results: The negative exploration occurred in acute edematous pancreatitis (n=5), chronic pancreatitis (n=4), obstructive cholecystitis (n=6), the petty gallstone (n=6), the muddy gall (n=6) in common bile duct and the tumid lymph gland (n=1) by common bile duct. Conclusions: The causes of the negative results for exploration of common bile duct are various. The negative exploration of common bile duct can be reduced by the intraoperative transcystic duct cholangiography.

       

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