胆道镜在胆总管T管引流术后拔管的应用  

Biliary tract surgery in the common bile duct T-tube drainage after the application of extubation

作　　者：刘青志 

机构地区：[1]贵州六盘水市水城矿业集团总医院,553000

出　　处：《内蒙古中医药》2011年第5期48-48,共1页Inner Mongolia Journal of Traditional Chinese Medicine

摘　　要：目的:分析胆总管T管引流术后经胆道镜检查后拔管,方便、安全、可靠,病人痛苦小。方法:结果:胆总管T管引流术1月后,胆道镜经T管窦道检查窦道、胆总管及下端、肝总管及肝内胆管无异常,拔除T管,如有异常,及时给予相应治疗,避免发生严重并发症。结论:对肝总管T管引流术后胆漏、残余结石、胆总管狭窄,经胆道镜检查后,再予拔除,可以有效的避免;以往经T管胆道造影后,在开放引流,夹管无不适后,再行T管拔除,经胆道镜检查后行T管拔除,后者较为方便、安全、可靠,病人痛苦小。Objective： To analyze the common bile duct T-tube drainage through cholangioscopy examination, pulling, convenient, safe, reliable, patient less pain. Methods： Results： The common bile duct T-tube drainage after the surgery in January, cholangioscopy through the T tube sinus examination sinus, common bile duct and the lower hepatic duct and intrahepatic bile ducts without exception, removal of T tube and, if abnormal, provide timely appropriate treatment to avoid serious complications. Conclusion： The right hepatic duct bile leakage after T-tube drainage, residual stones, common bile duct stenosis, after biliary endoscopy, the re-extraction can be effectively avoided; in the past through the T tube cholangiography after the open drainage, clamp tube without discomfort after the re-T tube removal, after biliary endoscopy Across T tube removal, which is more convenient, safe, reliable, and the patient less pain.

关 键 词：胆道镜检查 T管拔除 

分 类 号：R657.4[医药卫生—外科学]