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纤维胆道镜诊断胆道手术易漏病变(附104例分析)
引用本文:马荣赓,俞宪民. 纤维胆道镜诊断胆道手术易漏病变(附104例分析)[J]. 现代医学, 1987, 0(2)
作者姓名:马荣赓  俞宪民
作者单位:无锡市第三人民医院,无锡市第三人民医院
摘    要:1983年1月~1986年6月共作纤维胆道镜检104例,其中术中16例,术后88例,经检查发现胆道手术最常见的易漏病变包括胆管内残留结石、蛔虫、线结及癌肿等。本组术中探查发现可疑病变经胆镜复查阳性检出率达62.4%,术后经常规T管逆行胆道造影后又经T管瘘道胆镜检查,发现造影诊断真阳性率仅70.7%。胆镜检查可提高诊断正确率,因此作者强调术中、术后纤维胆道镜检查,对减少胆道手术易漏病变的发生,具有重要的临床意义。

关 键 词:内窥镜术  胆管阻塞  肝外  手术后并发症

Diagnosis of Easily Missed-lesions by Fiberoptic Choledochoscope in Biliary Tract Surgery: An Analysis of 104 Cases
Ma Ronggeng,et al.. Diagnosis of Easily Missed-lesions by Fiberoptic Choledochoscope in Biliary Tract Surgery: An Analysis of 104 Cases[J]. Modern Medical JOurnal, 1987, 0(2)
Authors:Ma Ronggeng  et al.
Affiliation:Ma Ronggeng,et al. The Third Municipal Hospital,Wuxi Shi.
Abstract:In the past three years, 104 choledochofiberoscopics were performed during and after operation for diagnosing the easily missed lesions in the biliary tract surgery. During operation, the exact diagnosis was obtained from 10/16 cases after the exploration of the common bile duct by choledoscopy. The fiberoptic choledochoscopic examination through T-tube removed the mistrusts based on x-ray findings in 24/82 cases. oth- er missed-leslons included tumors, ascarides, remnant stones, surgical knots, etc. The practical value of the choledochofiberoscopy was discussed.
Keywords:SUBJECT HEADINGS endoscopy duct obstruction   extrahepatic postoperative comlications
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