关键词: 胆囊切除术，腹腔镜;超声检查

    摘 要:目的 评价术前超声检查对预测胆囊炎伴胆囊结石的患者行腹腔镜胆囊切除术(LC)难易程度的应用价值. 方法 收集河南武警总队医院及西京医院1999-03/1999-08的240例行LC住院患者的资料.术前超声声像图检查对胆囊轮廓、囊壁厚度、囊壁回声、囊内回声、胆囊颈部显示情况进行综合分析，评估胆囊与周围组织的粘连程度，并与手术进行对照. 结果 超声检查综合性评估胆囊与周围组织粘连程度的灵敏度为73%，特异度98%，准确度96%. 结论 术前超声检查对LC难易程度有一定的预测价值.

    Utility of preoperative ultrasonography for patients undergoing laparoscopic cholecystectomy

    FENG Li-Ying ZHANG Jun ZHU Yong-Sheng ZHU Ting HE Jian-Guo LI Wei-Na PENG Ya-Ding

    1 Department of Clinical Laboratories，He'nan Provincial Corps Hospital，Chinese People's Armed Police Forces，Zhengzhou450000，China，

    2 Department of Ultrasonography，Fourth Military Medical University，Xi'an710033，China

    Keywords:cholecystectomy，laparoscopic;ultrasonography

    Abstract:AIM To evaluate the application of preoperative ultrasonography to the prediction of the difficulty of laparo-scopic cholecystectomy(LC)in patients of cholecystitis ac-companied by gallstone.METHODS We prospectively ana-lyzed the sonographic findings in240cases of cholecystitis ac-companied by gallstone admitted to our hospital from March to August ......