摘要
目的 :探讨纤维胆道镜对肝内外胆管残余结石的治疗价值。方法 :对 12 6例纤维胆道镜治疗胆管残余结石的病例进行分析研究 ,并对胆管狭窄、T管脱出的处理、胆肠吻合皮下盲袢间置术的价值及彗星征的重要性进行探讨。结果 :12 6例病人中 12 5例治愈 ,治愈率 99.2 %。无严重合并症。结论 :胆道镜治疗肝内外胆管残余结石不禁食、不麻醉 ,门诊即可进行。胆肠吻合术治疗肝内结石时应留置盲袢 ,并放标记 ,以备结石复发时胆道镜取石。Ⅰ、Ⅱ级胆管狭窄可于取净结石后放置塑料支架。手术和胆道镜相配合 ,是解决胆道结石的理想途径。
Objective:To investigate the value of choledochoscopy for treatment of retained stones in the biliary duct. Method:To analyze and study on the application of choledochoscopy in 126 cases of retained stones in the biliary duct and to comment treatment of biliary stricture and T-tube prolapsus,the clinical value of bilioenteric anastomosis with blind loop,and significance of 'comet sign'.Results:125 out of 126 cases have been proved successful,with a high suceessful rate up to 99.2%.There was no serious complication.Conclusions:Choledochoscopy approach of treating retained stones in the biliary duct can be conducted in the outpatient department without fasting and anesthesisa.Blind loop should be made and marked in treating intrahepatic stones with bilioenteric anastomosis for eradicating stones with choledochoscopy through stoma of bilioenteric anastomosis in case of recrudescence.A plastic stent can be inserted into the first and the second level biliary stricture after all stones have been eradicated.The conjugation of operation and choledochoscopy is an ideal approach to treat retained biliary stones.
出处
《中国内镜杂志》
CSCD
2001年第6期59-60,共2页
China Journal of Endoscopy
关键词
纤维胆道镜
胆管
残余结石
Choledochoscopy
Biliary Duct
Retained Stones
