摘要
目的了解胆管结石术后T管造影阴性的患者残余结石发生情况,探讨胆管结石术后常规行胆道镜检查的临床意义。方法对73例胆管结石术后T管造影阴性的患者于术后6～8周,拔除T管后,经T管窦道插入纤维胆道镜,仔细探查肝内外胆管,了解胆管残余结石的发生情况。结果发现胆管残石11例,最大结石直径<5 mm 8例,直径>5 mm 3例,单枚残石4例,2枚以上残石7例。其中,胆管下端结石8例,肝内胆管残余结石3例,均见于肝内胆管结石术后患者,9例造影提示气泡者有3例发现残余结石。结论 T管造影阴性的患者不能排除胆管残石的发生,术后进行常规胆道镜检查是非常必要的。
Objective To observe the bile residual stones occurred in the patients who accepted common duct exploration and study the clinical effects of choledochoscopic examination in these patients.Methods 73 cholelithiasis patients after common duct exploration accepted choledochoscopic examination while the outcome of cholangiography bypass T-tube was negative and the incidence of bile duct residual stones in these patients was investigated.Results Residual stones were founded in 11 patients.The largest stone diameter 5 mm were founded in 8 cases and the largest stone diameter 5 mm founded in 3 cases.Four patients had only one stone and seven patients had two or more stones.Stones were founded at the end of bile ducts in 8 cases and founded in intrahepatic bile ducts in 3 cases.Three patients had stones while air bubbles founded in the cholangiography bypass T-tube.Conclusion Residual stones may be found although the outcome of cholangiography bypass T-tube was negative and postoperative choledochoscope examination was necessary.
出处
《中华全科医学》
2013年第4期522-523,共2页
Chinese Journal of General Practice
关键词
胆石症
胆道造影
胆道镜
Cholelithiasis
Cholangiography
Choledochoscope
