摘要
(?)把内窥镜下观察的70例胆总管开口形态归纳为四型:多皱褶型(27.1%)、不规则孔型(38.5%)、圆点型(31.4%)和轮状迭瓦型(3%)。其中圆点型病损较重,胆总管开口有狭窄,因此残余结石率高达68.5%,术后复发率亦较高,不仅要解决胆管开口狭窄,也要注意左、右肝管病变的处理。不规则孔型术后胆道蛔虫发生率高达22.2%,施术前后驱虫是必要的,以防胆道蛔虫的并发症。
The shape of the orifice of common bile duct observed under endoscope is di-vided into four types,the polyplica,the irregular hole,the dot and the wheel.As the hole type orifice is relatively smaller,the residual biliary calculi are mo-re likely to be found,and the occurrance of biliary ascariasis may reach as highas 22% following operations of biliary tract with this type.
出处
《中国临床解剖学杂志》
CSCD
北大核心
1993年第1期58-60,共3页
Chinese Journal of Clinical Anatomy
关键词
内窥镜
胆结石
endoscope
common bile duct
biliary calculi
