摘要
８５０例胆管结石术后患者．在因疑有残石或胆总管远端不明原因的梗阻而经Ｔ管窦道行纤胆镜检查与治疗过程中，发现５２例胆管异位开口．其中存有残石者５０例。异位开口和残石以右肝尤其是右后叶肝胆管为多见．右后叶肝胆管开口于左肝胆管，左尾叶肝胆管开口于右前叶肝胆管，这些异位开口给纤胆镜检查取石带来很大的难度和盲目性．
patients with hepatolithiasis were suspected that the residual stones or nuclear obstructions of the distal choledochus were present after operation.During the examinations and treatment by fibrous choledochoscopy through T-tube tract, we found variant bile ducts in 52 cases, of them there were residual stones in 50cases. We observed the relations between the variant bile ducts and the residual stones and discovered that the variant bile ducts and residual stones were most common in the right hepatic lobar, especially in the right posterior segmental duct. The right posterior segmental duct was usually opening into the left hepatic duct, the left caudal segmental duct into the right anterior segmental duct. Because these anatomic variances were present, the exploring and removing of the stones had some difficulties and the postoperative examinations and treatment by choledochoscopy were more complicate and blind.
出处
《肝胆外科杂志》
1994年第3期180-181,共2页
Journal of Hepatobiliary Surgery
关键词
纤维胆道镜
胆管异位开口
胆管残石
choledochoscopy
variant bile duct
residual stones of bile ducts
