纤维胆道镜治疗肝胆管残余结石的评价

目的：评价纤维胆道镜治疗肝胆管残余结石的作用。方法：10年来对40例肝胆管残余结石行纤维胆道镜取石治疗，所有病人均于手术后经引流管造影证实，术后8周行胆道镜检查确认后取石。结果：40例中30例残余结石被取尽，取尽率为75％。取石失败的原因为：合并肝胆管管状狭窄，胆管有解剖变异，结石位于3级以上胆管并嵌顿。结论：纤维胆道镜治疗肝胆管残余结石具有重要作用，但有一定的局限性。

Evaluation of fibro-choledocoscope therapeutic effect for residual hepatic cholelithiasis

Objective:To evaluate the fibro choledocoscope therapeutic effect for residual hepatic cholelithaiasis. Methods :40 cases of residual hepatic cholelithiasis confirmed by T tube radiography were treated with fibro choledocoscope, all of the treatment were carried out 8 weeks after the operation.Results:The calculi of 30 cases were cleaned out. The clean out ratio was 75%. The reason for unsuccesful clean out included: accompanied cannular stricture of hepatic duct, aberrance of hepatic duct and inlaid calculi in grade 3 hepatic duct.Conclusion:Fibro choledoscope is a practical,effective method for residual hepatic chloelithiasis though with some limitation in some complex cases.