胆石症术中术后均应用纤维胆道镜327例临床研究  

Both Intraoperative and Postoperative Choledochofiberscope Application in Cholelithiasis:327 Cases Clinical Research

作　　者：李明亮[1] 秦春宏[1] 吴江[1] 何峰[1] 

机构地区：[1]南华大学附属第二医院普外科,湖南衡阳421001

出　　处：《中国医药指南》2011年第6期13-15,共3页Guide of China Medicine

摘　　要：目的探讨纤维胆道镜在治疗胆石症中的应用价值。方法对术中及术后均应用胆道镜的胆道结石患者327例临床资料进行分析。结果 262例开腹手术患者,术后平均住院时间(11±2)d,残石率为14.12%,术后再行胆道镜取石残石率降至2.67%;65例患者腹腔镜联合胆道镜胆总管探查取石,术后平均住院时间(4±1)d,无中转开腹,残石率4.61%,术后再行胆道镜取石残石率为0。全组无再次手术。结论①胆石症胆道镜探查有利于明确诊断、手术决策以及开展腹腔镜微创治疗,显著降低残石率。②胆道结石的诊治提倡术中及术后常规应用纤维胆道镜。Objective To investigate the application of choledochofiberscope in cholelithiasis.Methods Clinical data of 327 gallstone patients who had undergone choledochofiberscope treatment during and after surgical interventions were analyzed.Results 262 cases had undergone open surgery,the average postoperative stay was（11±2） days,the rate of residual stones was 14.12% down to 2.67% after postoperative choledochoscopy and remove of stones.Corresponding results was（4±1） days,4.61% down to 0,in 65 cases who had undergong laparoscopic with common bile duct exploration extraction of stones（LCBDE）,none had been converted to open surgery.All cases avoided reoperation so far.Conclusions Choledochofiberscope treatment both during and after surgical interventions is uesful in diagnosis,surgical decision-making and the reduction the rate of residual stones.Conventional application of choledochofiberscope in cholelithiasis should be advocated.

关 键 词：胆石症 胆石 纤维胆道镜 

分 类 号：R657.42[医药卫生—外科学]