纤维胆道镜和B超在肝胆管结石手术中联合应用的评价  

Intraoperative combined usage of fibercholedochoscopy and ultrasound for the treatment of intrahepatic cholelithiasis

作　　者：陈希纲[1] 彭民浩[1] 王文光[1] 刘家奇[1] 

机构地区：[1]广西医科大学第一附属医院肝胆外科,南宁530021

出　　处：《中华普通外科杂志》2002年第3期152-154,共3页Chinese Journal of General Surgery

摘　　要：目的探讨纤维胆道镜和B超在肝胆管结石手术中联合应用的价值。方法 6 5例肝胆管结石患者手术中应用纤维胆道镜观察、冲洗 ,取石 ,术后已随访 10年 ,近期对 78例患者在术中联合应用纤维胆道镜 +B超检查 ,比较两组的疗效。结果术中应用纤维胆道镜者术后随访前 5年内结石复发率明显低于术中未使用纤维胆道镜者 ,而 6～ 10年内结石复发率差别不大 ;术中应用纤维胆道镜 +B超者 ,比单纯应用纤维胆道镜者术后残石率低 ,疗效好。结论在肝胆管结石手术中联合应用纤维胆道镜和B超 ,能准确判断肝内结石的分布 ,可获得相关病情资料 ,并在其指导下施行最佳治疗方案。此法可有效降低术后残石率和结石复发率 。ObjectiveTo evaluate the intraoperative combined application of fibercholedochoscopy and B-type ultrasound for the treatment of intrahepatic biliary duct stones. Methods In our department 65 cases of intrahepatic biliary duct stones treated by fibercholedochoscopy and followed up for ten years were used as control. Results were compared with that of 78 cases undergoing combined management.ResultsFollow-up at first 5 years showed that patients treated with fiberbiliascopy had a much lower stone recurrent rate than that without, though difference became less significant within second 5 years. Intraoperative combined application of fibercholedochoscopy and B-ultrasound futher decreases the stone recurrence rate. ConclusionsCombining fibercholedochoscopy with B-type ultrasound intraoperatively enables the operator to locate intrahepatic biliary duct stones, reduces retained stone rate and stone recurrence.

关 键 词：内窥镜 胆结石 肝胆管结石 纤维胆道镜 B超 

分 类 号：R657.4[医药卫生—外科学]