胆道镜在胆道探查术后残留结石治疗中的应用(附220例报告)  

The application of choledochoscope in the treatment of postoperative residual calculi in biliary tract:A report of 220 cases

作　　者：谢建平[1] 辜天慧[1] 

机构地区：[1]巴中市中心医院肝胆外科,巴中636000

出　　处：《重庆医科大学学报》2010年第11期1765-1766,共2页Journal of Chongqing Medical University

摘　　要：目的:探讨胆道镜在胆道术后残留结石治疗的方法及疗效。方法:自2005年4月～2010年6月以来我院经胆道镜治疗的220例胆道术后残留结石。通过胆道镜,气囊扩张器,取石网,活检钳,自动冲水系统及液电碎石系统取石。结果:全组220例患者207例残留结石取净,取净率为94.09%,取石次数为1～8次,平均为(3.48±1.80)次。取石术后并发胆道出血5例,胆管炎4例,盲袢处皮下感染1例,无胆管及肠管穿孔。结论:经T管窦道或皮下盲袢胆道镜治疗胆道术后残留结石疗效显著,创伤小,并发症少,无需住院及麻醉,是治疗胆道术后残留结石的首选方法。Objective：To investigate the treatment method and curative effect of residual biliary stones in the biliary tract by choledochoscope.Methods：220 cases of postoperative residual biliary tract stones were treated in our hospital from April 2005 to June 2010 by using choledochoscope, balloon dilators,stone nets,biopsy forceps,automatic flushing system and electrohydraulic lithotripsy system.Results：The residual stones of 207 out of the 220 patients got removed.The removing rate was 94.09%.The stone removing number of times was 1-8 times,with an average of（3.48±1.80） times.There were 5 cases of postoperative hematobilia,4 cases of cholangitis,one case of subcutaneous infection of blind loop,and no bile duct or bowel perforation.Conclusion：The treatment for postoperative residual biliary tract stones by choledochoscope via the T tube sinus tract or subcutaneous blind loop is of significant effect.It should be the first choice to treat residual bile duct stones with the advantages of small operation wound,fewer complications,no hospitalization or anesthesia.

关 键 词：胆道探查术 胆道镜 残留结石 

分 类 号：R657.42[医药卫生—外科学]