胆道探查阴性13例临床分析  

Clinical Analysis of Bile Duct Exploration with Negative Results(13 Cases Report)

作　　者：杨育新[1] 杨承斌 

机构地区：[1]湖南省安乡县中医院普外科,常德415600

出　　处：《中国现代手术学杂志》2010年第3期180-181,共2页Chinese Journal of Modern Operative Surgery

摘　　要：目的探讨胆道探查阴性的原因及预防措施。方法回顾性分析13例胆道探查阴性的病例资料,术中发现因肿大的淋巴结压迫胆总管致黄疸者2例,因胆总管结石已从肠道排出4例,因胆囊内细小结石已从粗大的胆管系统排出者2例,Mirizzi综合征5例。结果术后T管引流通畅,术后3周行T管造影未见异常,拔管治愈。结论提高术前综合诊断水平及术中B超、术中扪诊技术,尤其是经术中胆囊管胆道造影检查是预防胆道探查阴性的有效方法。Objective To explore the reasons of the negative results in common bile duct exploration.Methods A retrospective analysis of 13 cases of negative bile duct stone exploration was applied.There were 2 cases caused by the pression from the turgescent lymph node,6 cases caused by the discharge of the stones,and 5 caused by the Mirizzi＇s syndrome.Results All the cases received the bile drainage by the trans-common bile duct T tube.And it showed no abnormal from the T tube cholangiography 3 weeks after operation.Conclusion It is the key points to raise the level of preoperative comprehensive diagnosis,the intraoperative type-B ultrasonic observation and the intraoperative palpable technology,especially the intraoperative cystic duct cholangiography for the prevention of negative results in common bile duct exploration.

关 键 词：胆结石 胆总管探查术 

分 类 号：R657.4[医药卫生—外科学]