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纤维胆道镜在肝胆管结石中的临床应用
引用本文:张震波,杨福泉,冯伟,武海风,杨宇东,杨立安,王智. 纤维胆道镜在肝胆管结石中的临床应用[J]. 腹腔镜外科杂志, 2006, 11(2): 134-135
作者姓名:张震波  杨福泉  冯伟  武海风  杨宇东  杨立安  王智
作者单位:陕西省第二人民医院,陕西,西安,710005
摘    要:目的:探讨纤维胆道镜在肝胆管结石术中、术后的应用价值。方法:回顾性总结纤维胆道镜探查取石46例,其中开腹术中取石13例,联合腹腔镜术中取石25例,术后经T管窦道取石8例。结果:本组46例用纤维胆道镜探查取石效果满意,术后造影正常,无残余结石。结论:术中应用纤维胆道镜探查取石可降低残余结石的发生率,经T管窦道取石是治疗术后残余结石最安全有效的方法,避免了再手术的痛苦。

关 键 词:纤维胆道镜  胆管结石  探查
文章编号:1009-6612(2006)02-0134-02
收稿时间:2005-08-08
修稿时间:2005-08-08

Clinical application of choledochofiberscope in curation of biliary calculi
ZHANG Zhen-bo, YANG Fu-quan, FENG Wei,et al.. Clinical application of choledochofiberscope in curation of biliary calculi[J]. Journal of Laparoscopic Surgery, 2006, 11(2): 134-135
Authors:ZHANG Zhen-bo   YANG Fu-quan   FENG Wei  et al.
Affiliation:ZHANG Zhen-bo, YANG Fu-quan, FENG Wei, et al.
Abstract:Objective:To discuss the value of choledochofiberscope in treating choledocholithiasis during or after operation.Methods:a review of 46 cases with choledocholithiasis treated with choledochofiberscope were conducted.Among them,13 cases received laparotomy,25 cases combined with laparoscopy and 8 cases had the calculus removed through T tube sinus tract after operation.Results:All the cases had the calculi removed successfully with choledochofiberscope,with no remnant calculi.Conclusions:To explore the bile duct with choledochofiberscope during operation can reduce the rate of remnant calculus.And the best method to treat remnant calculus after operation is through T-tube sinus tract with choledochofiberscope,it is safe and effective,avoiding the suffering of reoperation.
Keywords:Choledochofiberscope  Bile duct calculus  Ascertainment
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