手术结合纤维胆道镜治疗肝内胆管狭窄及肝内胆管结石的疗效分析  

Effective analysis on the treatment of hepatolith with intrahepatic stricture combined operation with fiber choledochoscope

作　　者：马扬 张卓 鲍世韵 刘嘉林 

机构地区：[1]暨南大学医学院第二附属医院深圳市人民医院肝胆外科,深圳518020

出　　处：《岭南现代临床外科》2004年第2期92-93,共2页Lingnan Modern Clinics in Surgery

摘　　要：目的探讨手术结合纤维胆道镜治疗肝内胆管狭窄及肝内结石的疗效。方法通过T管窦道胆道镜球囊扩张治疗肝内胆管狭窄、取净肝内结石。结果81例肝内胆管结石患者合并肝内胆管狭窄43例,占53.09%;利用胆道球囊反复扩张,解除狭窄的成功率88.37%;取净结石的成功率100%。术后所有病例无严重并发症。结论纤维胆道镜治疗肝内胆管狭窄克服了外科手术的盲区,具有创伤小,治愈率高,并发症少,疗效确切的优点。内镜与手术的结合使肝内胆管狭窄的治疗取得了十分满意的疗效。Objective To study the efficacy of intrahepatic stricture and hepatolith via operation and fiber choledochoscope.Methods The stenosis of intrahepatic duct was relieved and hepatolith was evacuated by the T tube sinurous tract and using a fiber choledochoscopic saccular dilator.Results Among 81 patients with hepatolith,43 cases were accompanied with stenosis of intrahepatic duct(53.09%).The stenosis were relieved by balloon dilatation repeatly with successful rate 88.37%.The stones were evacuated with 100%.All cases were uneventful without any serious complications after operation.Conclusion Fiber choleolochoscope overcomes the blind region of surgical operation for treating the stenosis of intrahepatic duct and it is of minor injury,less complications and a good efficacy.When the fiber choledochoscope is combined with surgery,it can get a satisfactory results in the treatment of stenosis of intrahepatic duct and hepatolith.

关 键 词：肝内胆管狭窄 肝内胆管结石 纤维胆道镜 胆道球囊扩张 手术治疗 

分 类 号：R657.4[医药卫生—外科学]