| 胆道手术中常规应用胆道镜的临床意义 |
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| 引用本文： | 宋树楼,武杨.胆道手术中常规应用胆道镜的临床意义[J].中国普外基础与临床杂志,2010,17(4):368-371. |
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| 作者姓名： | 宋树楼 武杨 |
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| 作者单位： | 淮南朝阳医院普外科,安徽淮南,232007 |
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| 摘 要： | 目的探讨胆道手术中常规应用胆道镜的临床意义。方法对我院2003年10月至2009年7月期间使用术中胆道镜处理的136例胆道疾病患者的临床资料进行分析和总结。结果116例肝内、外胆管结石,经术中纤维胆道镜检查、取石和针对性手术治疗,肝外胆管结石取净率为100%(85/85);肝外胆管和肝内胆管残留结石的发生率(简称残石率)分别为0(0/85)和22.6%(7/31),总残石率为6.0%(7/116)。经胆道镜探查发现良性肝内胆管狭窄13例,恶性肝内、外胆管狭窄8例;通过胆道镜取活检,确诊肝门部胆管癌4例,胆总管癌4例,胆总管下段息肉2例,肝胆管结石合并左肝胆管内胆管癌3例;16例梗阻性黄疸的病因得以证实。全部病例均无胆管撕裂、膈下脓肿、急性胆管炎等严重并发症发生。结论胆道镜可大大降低胆管残石率,提高胆道疾病的确诊率,对其治疗方案起到合理的指导作用,术中胆道镜对明确黄疸病因有其独特的优势,胆道镜在胆道疾病诊治中作用显著,值得推广应用。
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| 关 键 词： | 术中胆道镜 胆道疾病 胆道手术 诊断 治疗 |
Clinical Significance of Routine Application of Choledochoscope During Biliary Duct Operation |
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| SONG Shu-lou,WU Yang.Clinical Significance of Routine Application of Choledochoscope During Biliary Duct Operation[J].Chinese Journal of Bases and Clinics In General Surgery,2010,17(4):368-371. |
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| Authors: | SONG Shu-lou WU Yang |
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| Institution: | SONG Shu-lou,WU Yang.Department of General Surgery,Huainan Chaoyang Hospital,Huainan 232007,Anhui Province,China |
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| Abstract: | Objective To investigate the clinical significance of routine application of choledochoscope during operation of biliary duct.Methods The clinical data of 136 patients with the routine application of intraoperative choledochoscope dealing with bile duct diseases in this hospital from October 2003 to July 2009 were analyzed and summarized.Results Intraoperative choledochoscope inspection,taking stones and targeted surgery were performed in 116 cases with extrahepatic and (or) intrahepatic bile duct stones.Th... |
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| Keywords: | Intraoperative choledochoscope Biliary duct disease Bile duct operation Diagnosis Treatment |
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