小切口胆道探查术联合运用纤维胆道镜治疗胆道结石  

Analysis of Bile Duct Stones Treated by Mini-incision Exploration of Common Bile Duct Combined with Choledochoscopy

作　　者：田大广[1] 李晓延[1] 李立[1] 张捷[1] 冉江华[1] 魏晓平[1] 

机构地区：[1]昆明医学院笫二附属医院肝胆外科,昆明650101

出　　处：《昆明医学院学报》2005年第2期83-85,共3页Journal of Kunming Medical College

摘　　要：目的:总结200例小切口胆道探查术联合运用纤维胆道镜治疗胆道结石的临床应用体会.方法:回顾分析200例小切口胆道探查术联合运用纤维胆道镜的临床资料.结果:200例均治愈,切口长度为(5±1)cm,手术时间为(70±20)min,术中失血量为40～100mL,术后平均住院7～9 d.术中有18例延长切口,手术完成率为91%,术中结石取净率92.5%.结论:该手术具有小切口胆囊切除术、胆道残余结石率低、无胆道括约肌损伤的优点.Objective: To summarize the experience in 200 patients with bile duct stones treated by mini-incision exploration of common bile duct in combination with choledochoscopy. Methods: The clinical data of 200 patients with bile duct stones treated by mini-incision exploration of common bile duct in combination with choledochoscopy were retrospectively analyzed. Results: All cases were restored. Incision (5±1)cm, time of operation (70±20)min and bleeding 40～100mL. Average days in hospital were about 7～9d. But the incision of 18 cases was broadened. The successful percentage was 91%. Conclusions: Comparing with traditional exploration on biliary tract, the operation is safer and less traumatic.

关 键 词：纤维胆道镜 胆道探查术 胆道结石 治疗 小切口胆囊切除术 胆道残余结石率 结石取净率 括约肌损伤 临床资料 回顾分析 应用体会 切口长度 手术时间 失血量 术中 

分 类 号：R657.42[医药卫生—外科学] R657.4[医药卫生—临床医学]