170例胆道术后T管造影的动态观察  

Dynamic Observation of Biliary Tract after Surgery Via T-Tube Cholangiography in 170 Cases

作　　者：尹方龙[1] 唐俊益 张宗龙[1] 张健[1] 田农庄 

机构地区：[1]四川省资阳市第一人民医院外科,资阳641300

出　　处：《中国普外基础与临床杂志》2003年第5期457-458,共2页Chinese Journal of Bases and Clinics In General Surgery

摘　　要：目的　为获取胆道手术后胆管内的准确影像变化信息。方法　对 170例胆道术后T管引流患者 ,采用不同角度、不同体位及较长时间的动态观察 ,明确胆道内影像变化后将其存入磁盘、点片或打印成像。结果　 170例患者中有 12 0例胆管内无异常发现 ,拔除T管引流后治愈 ;余 50例中有 3 0例为胆管残余结石 ,9例为胆管炎性狭窄 ,4例为胆管下端肿瘤 ,7例假阳性影像变化中 ,3例为假结石影像 ,4例为假阳性信息。全部结果均经BUS、CT、纤维胆道镜检查、手术或延长观察时间所证实。结论　应用动态观察 ,行胆道T管造影 ,方法简便、实用 ,无痛苦 ,不增加患者经济负担 。Objective To gain accurate imaging i nformation of biliary tract after surgery. Methods The biliary tract of 170 cases after s urgery had been observed dynamically from different directions for longer time. The results of data on biliary tract change were stored in disc, or picture. Results Of 170 cases, 120 cases were cured with out any abnormal change on cholangiography, and then the T-tube was removed. Of another 50 cases, 30 cases revealed remnant stone on cholangiography, 9 cases s howed inflammatory stricture of biliary tract, 4 cases displayed common bile duc t tumor, and 7 cases had false filling-defect. Then, the results were further c onfirmed by sonography, CT, choledochoscopy, and operation. Conclusion The dynamic observation of biliary tract by T-tube cholangiography after surgery is usual way that is handy, pract ical, painless, and economic.

关 键 词：胆道手术 术后 T管造影 T管引流 注意事项 

分 类 号：R657.4[医药卫生—外科学]