摘要
目的探讨肝内外胆管结石术后残余结石应用纤维胆道镜取石的方法及价值。方法回顾分析该院1991年2月～2009年2月应用纤维胆道镜治疗术后胆管残余结石682例患者的临床资料。结果682例患者中656例取净结石,取石治疗成功率96.19%,取石次数1～6次,平均2.8次,有2例发生窦道穿孔断裂,经保守治疗痊愈,取石后胆管少量出血69例,并发腹泻28例、发热16例,均经保守治疗痊愈。结论纤维胆道镜技术是目前治疗术后胆管残余结石的安全、有效方法,应作为常规技术普及应用。
[ Objective ] To explore the clinical value and techniques of using fibercholedochocopy in the treat- ment of postoperative residual bile duct stones. [ Methods ] from 1991.2 to 2009.2, 682 patients with postoperative residual bile duct stones were analyzed retrospectively. The way to retract the stones from the eomrnon bile duct and intrahepatic bile duct with choledochoseopy include baskets, bile duct expanded balloon, flushing-drainage tube, apparatus of hydraulic electricity lithotripsia. [ Results ] Among 682 patients, 656 cases stones were taken out com- pletely （656/682, 96.19%）. The removing frequency was 1~6 times, average 2.8 times. Complicated perforation of si- nus in 2 cases, hemobilia in 69 cases, diarrhea in 28 cases and lower grade fever in 16 cases were cured by conser- vative therapy. [ Conclusions ] The stone-removing technique by choledochoscopy is safe and effective approach for postoperative residual bile duct stones and should be performed in all patients with cholelithiasis.
出处
《中国内镜杂志》
CSCD
北大核心
2010年第1期85-87,共3页
China Journal of Endoscopy
关键词
纤维胆道镜
T管引流
残余结石
fibercholedochoscopy
T-tube
residual bile duct stones
