胆道镜在肝内外胆管结石术中术后应用价值探讨  

THE CLINICAL VALUE OF CHOLEDOCHOFIBERSCOPE TO THE INTRAHEPATIC BILIARY CALCULI AND AFTER OPERATION

作　　者：李启信[1] 卢业才[1] 束庆兵[1] 

机构地区：[1]安徽省巢湖市第一人民医院,巢湖238000

出　　处：《肝胆外科杂志》2009年第3期198-200,共3页Journal of Hepatobiliary Surgery

摘　　要：目的探讨胆道镜在肝内外胆管结石治疗中的临床价值。方法收集2002年至2008年6年来胆道镜检查治疗肝内外胆管结石的191例病例,按术中、术后分为A组和B组,其中A组:术中胆道镜检查取石100例,B组:术后经T管窦道治疗者91例。结果A组结石发现率60%,取尽结石率55%;B组取尽结石率94%。结论胆道镜在肝内外胆管结石的诊治中具有重要的意义,术中检查可以避免结石残留及发现隐匿的疾病,指导选择合理的手术方式;术后检查可以避免T管造影出现的假阴性,可以进一步治疗残石。避免不必要的纠纷。Objective To explore the clinical application of choledochofiberscope to the intrahepatic biliary calculi during and after operation. Methods The clinical data of 191 cases with intrahepatic biliary calculi from 2002 to 2008 were collected and analyzed, Group A： 100 patients treated by choledochofiberscope during operation; Group B： 91 patients treated by choledochofiberscope through T-tube sinus after operation. Results Biliary calculi were found in 60 （60%） cases after the operation in Group A, 55 （55%） cases removed completely; the rate of calculus-removed in Group B was 94%. Conclusion Choledochofiberscope plays an important role in the treatment of intrahepatic biliary calculi, carefully inspected during operation can minimize the possibility of residual calculi and find covered disease, help to elect reasonable operation; It can avoid false negative by T-tube cholangiography after operation, remove residual calculi, abstain dissension needless.

关 键 词：胆道镜 肝内外胆管结石 

分 类 号：R657.3[医药卫生—外科学]