胆道探查联合术后多次经T管窦道胆道镜取石治疗多发性肝胆管结石病的临床研究  

The clinical study of multiple hepatolithiasis treated by biliary tract exploration combined with multiple t-tube sinus choledocholithotomy after operation

作　　者：蒋遗云 熊志刚[1] 李振 朱剑彪[1] 袁汀浩 Jiang Yiyun;Xiong Zhigang;Li Zhen;Zhu Jianbiao;Yuan Tinghao(Department of Hepatobiliary Surgery,Fengcheng People's Hospital,Yichun,Jiangxi,331100,China)

机构地区：[1]丰城市人民医院肝胆胰外科,江西宜春331100

出　　处：《当代医学》2020年第23期66-68,共3页Contemporary Medicine

摘　　要：目的探讨多发性肝胆管结石病采用胆道探查联合术后多次经T管窦道胆道镜取石进行治疗的临床应用价值。方法回顾性分析丰城市人民医院2015年6月至2018年6月肝胆胰外科收治的27例多发性肝胆管结石患者的临床资料,患者均经胆道探查联合术后多次经T管窦道胆道镜取石。结果取尽结石24例,住院过程中未出现胆道大出血、死亡等严重并发症。结论胆道探查联合术后多次经T管窦道胆道镜取石可应用于多发性肝胆管结石患者,具有创伤小、恢复快、并发症少等优点,有较高的应用价值。Objective To explore the clinical value of the treatment of multiple hepatolithiasis that biliary tract exploration combined with multiple T-tube sinus choledocholithotomy after operation. Methods Retrospective analysis was performed on the clinical data of 27 cases of patients with multiple hepatolithiasis admitted by hepatobiliary and Pancreatic Surgery Department of Fengcheng People’ s Hospital from June 2015 to June2018. Results All the stones were removed in 24 cases, and there was no serious complications, such as massive biliary bleeding and death, occurred during hospitalization. Conclusion The treatment that biliary tract exploration combined with multiple Ttube sinus choledocholithotomy after operation can be applied to patients with multiple hepatolithiasis, which has the advantages of less trauma, faster recovery and fewer complications.And it has high clinical applied value.

关 键 词：肝胆管结石 胆道镜取石 治疗 并发症 

分 类 号：R657.4[医药卫生—外科学]