纤维胆道镜对胆道术后残余结石的应用效果评价  

Application of Fibercholedochoscopy Technique to Treating Postoperative Retained Calculi in Biliary Tracts and Its Effect

作　　者：何苦寒[1] 杨文军[1] 李文兵[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：《中南医学科学杂志》2013年第4期412-413,421,共3页Medical Science Journal of Central South China

摘　　要：目的评价纤维胆道镜对胆道术后残余结石的应用及其技术要点。方法研究门诊胆道镜治疗的185例胆道手术后残余结石患者,使用网篮取石,液电碎石,冲洗管冲洗,充气球囊拖拽取石治疗的技术及效果。结果 185例患者1次取尽结石者142例,2次取尽者29例,3次取尽者6例,4次及4次以上取尽者8例。本组病例中出现发热28例,术后腹泻35例,10例术中胆道少量出血。结论纤维胆道镜及胆道镜下碎石治疗肝内外胆管残余结石是一种创伤小、安全、有效、便捷、并发症少,高效的方法。Objective To evaluate the effect of fibercholedochoscopy on postoperative retained calculi in biliax3 tracts and its technical points. Methods Study the technique and treatment effect of using basket extraction, electro- hydraulic lithotfipsy and flushing tube, and taking out stones by dragging with inflatable balloon during surgeries, which were applied to the 185 patients, receiving eholedochofiberseopy treatment at our hospital clinic, with postoperative retained calcu- li in their biliary tracts from March 2010 to December 2012. Results Of all the 185 cases of patients, 142 cases finished stone extraction at the first time,29 cases at the second time,6 cases at the third time and only 8 cases took four or more times. And of the 185 cases ,28 cases had a fever,35 cases had a diarrhea after surgery and 10 cases had a mild hematobilia during surgery. Conclusions Fibercholedochoscopy and choledochoscope electrohydraulic lithotripsy is a safe, effective, convenient and efficient method for treating postoperative retained calculi in biliary tracts, which also has less trauma and few complications.

关 键 词：纤维胆道镜 胆道术后残余结石 胆道镜取石 

分 类 号：R657.4[医药卫生—外科学]