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)

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：216例胆道探查手术病人术中常规使用胆道镜，102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23．3％（21／90），应用胆道镜经T管窦道结石取净率为95．2％（20／21），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，肝胆管结石术后经T管窦道应用胆道镜技术可有效清除胆管残石。

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

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.