摘要
目的评价纤维胆道镜在胆道手术中的作用。方法选择经胆总管切开和经扩张的胆囊管或胆囊管与胆总管汇合部的微切口途径插入胆道镜对428例胆道手术施行术中胆道镜检查。结果胆总管切开取石后经胆总管胆道镜检查270例,阳性发现24例(8.9%);经扩张的胆囊管或胆囊管与胆总管汇合部的微切口胆道镜检查158例,阳性发现40例(25.3%)。结论术中胆道镜检查能降低胆道结石的残留,减少胆总管的阴性探查,提高对胆道病变诊断的准确性,并能为胆总管探查一期缝合提供可行性依据。
Objective To investigate the clinical application of fibercholedochoscopy in biliary duct operation. Methods The clinical data of 428 cases of biliary duct operation undergoing fibercholedochoscopy through common bile duct （CBD） or cystic duct were retrospectively analyzed. Results 270 cases were performed fibercholedochoscopy through the incision of CBD,and 24 cases （8.9%） had positive finding. 158 cases were performed fibercholedochoscopy through the dilated cystic duct or mini-incision of the union of cystic duct and CBD,and 40 cases （25.3%） had positive finding. Conclusion Application of fibercholedochoscopy in biliary duct operation is useful for reducing choledochal residual stones, negative exploration and improving the accuracy of diagnosis, also makes primary common bile duct closure to be feasibility.
出处
《实用临床医学（江西）》
CAS
2009年第5期61-62,64,共3页
Practical Clinical Medicine
关键词
纤维胆道镜
胆道外科手术
胆总管探查术
fibercholedochoscopy
biliary tract operation
common bile duct exploration
