经胆道镜治疗胆道残余结石19年回顾

目的　介绍纤维胆道镜治疗胆道残石的经验体会。　方法　回顾分析 19年来纤维胆道镜诊治 110 5例胆道残余结石的临床资料。　结果　 10 6 7例残石中 ,镜检取石 14 83例次 ,结石取净 10 35例 ,残石取净率 97% ;未能取净残石 32例 ,全组无死亡。　结论　纤维胆道镜治疗胆管残余结石不仅能降低结石残留 ,避免病人多次手术 ,而且具有安全性高、创伤小、费用低、术后恢复快等优点。

A retrospective study on 19 years' choledochofiberscopic treatment for residual stones of biliary tract

Objective To summarize our experience in choledochofiberscopic treatment for residual stones of biliary tract. Methods 1105 cases of residual stones of biliary tract diagnosed and treated with choledochofiberscope in the past 19 years were reviewed retrospectively. Results The 1067 patients with residual stones of bile duct were treated with choledochofiberscope for 1483 times altogether. The stones were completely removed in 1035 cases, while the stones were not cleared in other 32 cases. The clearance rate of residual stones was 97.0%(1035/1067). No patient died of choledochofiberscopic treatment. Conclusions Choledochofiberscopic treatment plays an important role in the treatment of residual stones of bile duct, because it not only reduces residual stones of bile duct to avoid repeated operation, but also has some advantages such as excellent safety, minimal invasion, low cost and quicker recovery.