【摘要】 目的 探讨经胆囊管造影在单纯性胆囊切除术中的价值。方法 回顾分析本院在1991年1月～2004年12月间1569例单纯性胆囊切除术中常规经胆囊管造影胆管结石的发生率。结果 1023例无胆总管探查指征，经术中胆囊管造影51例，阳性49例，经探查证实有结石，546例有胆总管相对探查指征，经胆囊管造影158例阳性，151例探查证实。结论 单纯性胆囊切除术中常规经胆囊管造影可发现隐匿性胆总管结石，能有效减少胆管残余结石，减少胆道损伤。

    【关键词】 胆道造影；胆囊切除

    Analysis of 1569 cases with cholangiography in simple cholecystectomy

    ZHU Yi-jun.Department of General Surgery,Tinglin Hospital of Jinshan,Shanghai 201505,China

    【Abstract】 Objective To investigate the value of cholangiography through cystic duct in simple cholecystectomy.Methods To analyse retrospectively the rate of calculus of bile duct found through routinal cholangiography in the 1569 cases of simple cholecystectomy from January 1991 to December 2004.Results Within 1023 cases without indication of exploration of common bile duct,49 cases were found stones in the common duct among 51 cholangiography,positive cases;while within 546 cases with relative indication,158 cholangiography positive and 151were confirmed with calculus.Conclusion Routinal cholangiography through cystic duct in the simple cholecystectomy can find latent stone in the common duct,then reduce residual stone effectively and lessen biliary duct injury. ......