纤维胆道镜治疗肝胆管结石106例临床分析

目的总结纤维胆道镜在肝胆管结石术中术后治疗中的经验。方法回顾性分析106例肝胆管结石患者术中、术后利用纤维胆道镜检查、取石治疗的临床资料。结果106例患者中有86例术中取石,结石取尽率82.56%(71/86),20例患者术后经T管窦道取石,结石取尽率为85%(17/20)。结论肝胆管结石术中常规应用纤维胆道镜有助于指导治疗,减少胆管残石,术后经T管窦道应用纤维胆道镜技术可有效清除胆管残石,降低残石率和再手术率。

Clinical analysis of 106 cases of treatment for hepatolithus by fiber choledochoscope

Objective To summarize experience in intraoperative and postoperative cholangioscopic for hepatolithiasis. Methods To analyse 106 patients with hepatolithiasis in intraoperative and postoperative used the choledochoscope to check and removed stones. Results The stone-free rate was 82.56%(71/86) in 86 cases who used fiber choledochoscope in intraoperative,the stone-free rate was 85%(17/20) in other 20 cases who used fiber choledochoscope postoperative through the T tube tract. Conclusion Routine use the choledochoscope in intraoperative for hepatolithiasis is helpful to cure,and to decrease the residual stone in biliary duct. Using the choledochoscope in postoperative for hepatolithiasis through the T tube tract can removing residual stone in biliary duct effective,decrease the rate of residual stone and reoperation.