摘要
目的探讨纤维胆道镜在胆总管探查手术中应用的疗效与优点。方法对68例胆总管探查病人常规使用术中胆道镜进行探查和取石，并对其临床效果进行回顾性分析。结果手术时间60～140min，平均85min，术中通过胆道镜探查发现术前未发现的胆总管下端结石6例，术后残留结石5例，较以前单纯胆总管切开取石残石率下降。术后无严重并发症出现。结论术中胆道镜的应用可以减少胆道疾病的漏诊和误诊，治疗胆总管下端结石时克服了传统器械取石的盲目性，能有效减少医源性损伤，大大降低了术后残石率和再手术率。该方法简便、快捷、安全、可靠实用，适合在基层医院推广。
Objective To explore the effectiveness and advantages of fibercholedochoscopy in exploratory operation of common bile duct. Methods The data of 68 cases with routine application of fibercholedochoscopy for exploration and eholelithotomy in exploratory operation of common bile duct were retrospectively reviewed and analyzed. Results The operation time is 60- 140 min with an average of 85min. The calculi in lower part of common bile duct were found through the exploration with fibercholedochoscopy in 6 cases, calculi in these cases had not been found by imaging examination before operation. Calculi were remained in biliary tract in 5 cases after operation, so the rate of residual calculi was decreased in comparison with previous operation procedure. There was no serious complication occurred in this kind of operation. Conclusion The application of fibercholedochoscopy in operation of biliary tract can decrease the rate of misdiagnosis or missed diagnosis in biliary tract diseases. This procedure can overcome the disadvantages of routine cholelithotomy with other instruments and it thus may effectively reduce the injury caused by operation, so it can greatly reduce the rates of residual calculi and reoperation. This procedure is simple, safe and practical, and it may be recommended for application in primary level hospitals.
出处
《临床和实验医学杂志》
2008年第10期36-37,共2页
Journal of Clinical and Experimental Medicine
关键词
胆总管
纤维胆道镜
胆总管结石
探查
Bile duct Fibercholedochoscopy Common bile duct calculi Exploratory
