胆囊切除术时,以下哪项不是胆总管探查的指征A.胆总管扩张B.胆囊多发小结石C.胆囊积液D.黄疸病史E.合并胰腺炎

作者: rantiku 人气: - 评论: 0
问题 胆囊切除术时,以下哪项不是胆总管探查的指征
选项 A.胆总管扩张 B.胆囊多发小结石 C.胆囊积液 D.黄疸病史 E.合并胰腺炎
答案 C
解析 :胆总管探查的指征有:有梗阻性黄疸史;胆囊多发性小结石而胆囊管通畅;术中扪及胆总管内有结石、肿瘤或蛔虫;术中胆道造影或术中B超显示有胆管结石;术中发现胆总管扩张;术中胆管穿刺抽出脓性胆汁或胆汁中有泥沙样颗粒。胆囊结石合并胆源性胰腺炎也应探查胆总管。

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