胆道探查术中及术后纤维胆道镜应用价值探讨(附216例报告)  

Value of intraoperative and postoperative choledochoscopic treatment for patients undergoing exploration of bile duct: a report of 216 patients

作　　者：蒲青凡[1] 孙碎康[1] 陈展伟[1] 曹高建[1] 张海峰[1] 孙广正[1] 戴华卫[1] 严律南[2] 

机构地区：[1]浙江省温州医学院附属第三医院外二科,瑞安市325200 [2]华西医科大学附属第一医院普外科

出　　处：《中华肝胆外科杂志》2002年第8期482-483,共2页Chinese Journal of Hepatobiliary Surgery

摘　　要：目的　探讨纤维胆道镜在胆道探查术中及术后的应用价值。方法　 2 1 6例胆道探查手术病人术中常规使用胆道镜 ,1 0 2例同时使用术中和术后胆道镜。结果　 90例肝胆管结石病人术中联合应用胆道镜技术 ,术后残石率由 46 7% (42 / 90 )降为 2 3 3 % (2 1 / 90 ) ,应用胆道镜经T管窦道结石取净率为 95 2 % (2 0 / 2 1 )。结论　强调胆道探查术中常规应用胆道镜有助于降低胆管残石率 。Objective To study the value of intraoperative and postoperative choledochoscopic treatment for patients undergoing exploration of the bile duct. Methods Amongst 216 cases undergoing exploration of the bile duct, 102 received intraoperative and postoperative choledochoscopic treatment. Results Ninety patients with hepatolithiasis were treated with intraoperative choledochoscope. The postoperative retained stone rate decreased from 46 7% to 23 3%. Twenty one patients with retained stone were treated with choledochoscope through T tube fistulas. The stone clearing rate was 95 2%. Conclusions Conventional treatment with choledochoscope in the exploration of the bile duct is useful to decrease the postoperative retained stone rate. The postoperative choledochoscopic treatment through T tube fistulas can effectively remove the retained stones in the bile duct in patients with hepatolithiasis.

关 键 词：胆道外科手术 胆道探查 纤维胆道镜 

分 类 号：R657.4[医药卫生—外科学]