纤维胆道镜对胆道术后残余结石的应用效果评价-南华大学学报.PDFVIP

412 Medical Science Journal of Central South China,July2013,Vol.41,No.4 文章编号:2095-1116(2013)04-0412-02 ·临床医学· 纤维胆道镜对胆道术后残余结石的应用效果评价 何苦寒,杨文军,李文兵 (南华大学附属第二医院普外科,湖南衡阳421001) 摘摇 要:摇 目的摇 评价纤维胆道镜对胆道术后残余结石的应用及其技术要点。 摇 方法摇 研究门诊胆道镜治疗 的185例胆道手术后残余结石患者,使用网篮取石,液电碎石,冲洗管冲洗,充气球囊拖拽取石治疗的技术及效果。 结果摇 185例患者1次取尽结石者142例,2 次取尽者29例,3 次取尽者6例,4 次及4 次以上取尽者8例。 本组病 例中出现发热28例,术后腹泻35例,10例术中胆道少量出血。 摇 结论摇 纤维胆道镜及胆道镜下碎石治疗肝内外 胆管残余结石是一种创伤小、安全、有效、便捷、并发症少,高效的方法。 关键词:摇 纤维胆道镜;摇 胆道术后残余结石;摇 胆道镜取石 中图分类号:R657郾4摇 摇 摇 文献标识码:A Application of Fibercholedochoscopy Technique to Treating Postoperative Retained Calculi in Biliary Tracts and Its Effect HE Kuhan,YANG Wenjun,LI Wenbing (Department of General Surgery,the SecondAffiliated Hospital,University of South China, Hengyang,Hunan421001,China) Abstract:摇 Objective摇 To evaluate the effect of fibercholedochoscopy on postoperative retained calculi in biliary tracts and its technical points.摇 Methods摇 Study the technique and treatment effect of using basket extraction,electro鄄 hydraulic lithotripsy andflushingtube,andtakingoutstonesbydraggingwithinflatableballoonduringsurgeries,whichwere appliedtothe185patients,receivingcholedochofiberscopytreatmentatourhospitalclinic,withpostoperativeretainedcalcu鄄 li in theirbiliarytractsfromMarch2010 toDecember2012.摇 Results摇 Of allthe 185 casesofpatients,142 casesfinished stone extraction at thefirst time,29 cases at the second time,6 cases at the third time and only 8 cases took four or more times.And ofthe 185 cases,28caseshadafever,35 caseshadadiarrheaafter surgery and 10 caseshadamildhematobilia during surgery.摇 Conclusions摇 Fibercholedochosco