现一无症状的胆囊结石胆囊炎病人。B超示胆囊壁厚0.4cm,结石周围未见胆囊腔,胆囊肿胀,内回声不均匀,胆囊大于13cm×4cm,结石大于2.0cm,胆总管...

作者: rantiku 人气: - 评论: 0
问题 现一无症状的胆囊结石胆囊炎病人。B超示胆囊壁厚0.4cm,结石周围未见胆囊腔,胆囊肿胀,内回声不均匀,胆囊大于13cm×4cm,结石大于2.0cm,胆总管0.9cm。下一步选择应该是
选项 A.内镜胆囊切除 B.开腹手术胆囊切除 C.腹腔镜胆囊切除,切除困难时中转开腹 D.做MRCP或胆道造影检查 E.保守治疗
答案 D
解析 :应该选择做MRCP或胆道造影检查。

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