摘要
目的:探讨胆道镜经胆囊管行胆道探查的临床价值。方法:对356例胆囊切除术患者,采用经胆囊管行胆总管探查取石治疗。结果:348例成功经胆囊管探查,探查阴性者125例(35.9%),胆管结石223例(64.1%),215例通过胆囊管处理,术后恢复顺利,无胆漏,术后随访半年无残余结石。结论:术中胆道镜经胆囊管行胆道探查及取石手术具有操作简单、创伤小、降低胆管盲目切开及术后常规住院日缩短等优点,有较好的临床应用价值。
Objective：To investigate the clinical value of choledochoscopy transcystic common bile duct exploration（CCBDE）.Methods：CCBDE were performed in 356 cases of cholecystectomy.Results：CCBDE was successful in 348 cases.Negative results were found in 125 cases（35.9%） and bile duct stones were found in 223 patients（64.1%）,among which 215 cases were operated through the cystic duct.Postoperative recovery of these patients went on very well,with no bile leakage and residual stones in six months postoperative follow-up.Conclusion：Intraoperative CCBDE and lithotomy are simple,minimally invasive and can avoid unguided opening surgery and shorten postoperative hospital stay,thus it is of high clinical application value.
出处
《中国当代医药》
2011年第31期25-26,共2页
China Modern Medicine
关键词
胆石症
胆总管探查
胆道镜
胆囊管
Cholelithiasis
Common bile duct exploration
Choledochoscopy
Cystic duct
