内镜治疗胆管残余结石306例分析  

Endoscopic treatment for bile duct residual stones:a clinical analysis of 306 cases.

作　　者：秦明放[1] 邹富胜[1] 王震宇[1] 范君度[1] 鲁焕章[1] 

机构地区：[1]天津市南开医院内镜外科,300100

出　　处：《中国实用外科杂志》2001年第6期353-355,共3页Chinese Journal of Practical Surgery

摘　　要：目的　探讨内镜治疗肝内外胆管残余结石的效果。方法　对 1990年 1月至 2 0 0 0年 1月间的 30 6例胆道残余结石的治疗效果进行回顾性分析 ,采用十二指肠镜 12 7例 ,胆道镜 116例 ,经皮经肝胆道镜 (PTCS) 6 3例。结果　 30 6例中有 2 86例成功 (93 46 % )。十二指肠镜治疗 12 7例 ,成功 12 5例 ;胆道镜经T管窦道治疗 116例 ,成功 10 9例 ;PTCS治疗肝内结石 6 3例 ,成功 5 2例。结论　内镜治疗肝内外胆道结石效果显著 。Objective To assess the effectiveness of endoscope in treating residual stones of intrahepatic and extrahepatic bile duct.Methods From Jan.1990 to Jan.2000,306 cases of residual stones in bile duct were analyzed retrospectively,treated by duodenoscopy(127 cases),choledochoscopy(116 cases) and percutaneous transhepatic choledochoscopy(PTCS,63 cases).Results 286 cases were removed stones successfully in all patients.125 cases of 127 cases were successful by duodenoscopy;by choledochoscopy,in 116 cases,the success were 109 through T-tube tract;by PTCS 52 of 63 cases were removed intrahepatic residual stones.Conclusion Endoscopy is an effective method for managing patients with intrahepatic or extrahepatic bile duct residual stones,and open operation can be avoided in most of cases.

关 键 词：胆道残余结石 内镜治疗 疗效 十二指肠镜 胆道镜 经皮经肝胆道镜 

分 类 号：R657.42[医药卫生—外科学]