36例胆总管远端嵌顿性结石治疗探讨  

Discussion in Treatment of Stone Impacted at Distal Common Bile Duct in 36 Cases

作　　者：杨浩华[1] 朱晟[1] 

机构地区：[1]常州市第二人民医院肝胆外科,常州213003

出　　处：《中国医药导刊》2010年第11期1898-1898,1900,共2页Chinese Journal of Medicinal Guide

摘　　要：目的:探讨胆总管远端嵌顿性结石的治疗方法。方法:总结分析经手术治疗的胆总管远端嵌顿性结石36例的病例资料。结果:36例均行胆总管切开取石+胆道镜探查术,其中3例先急诊行鼻胆管引流术、5例行急诊胆总管探查术。手术顺利完成,无胆道损伤等并发症,全部治愈,无结石残留,带T管出院,术后4周回院拨除T管。结论:胆道镜的使用是治疗胆总管远端嵌顿性结石的有效方法。Objective： To explore the treatment of stone impacted at distal common bile duct.Methods：Summarized and analyzed the clinical data in 36 cases of common bile duct exploration carried out.Results：All patients treated by exploration of common bile duet with choledocho,the ednoscopic nasobiliary drainage was firstly performed in three cases,five cases received emergent common bile duct exploration.Operations were successful in all cases.There were no complications such as injury of bile duct ,retained calculus.All the patients were cured and discharged with T-tube.T-tube extubation should be done in the forth week after operation.Conclusions：The using of choledochoscope is effective method for treatment of stone impacted at distal common bile duct.

关 键 词：胆总管结石 胆道镜 胆总管探查术 

分 类 号：R657.4[医药卫生—外科学]