【摘要】 目的 探讨纤维胆道镜治疗术后胆管残余结石的临床效果。 方法 回顾分析1994～2003年间应用纤维胆道镜经术后T管窦道取石治疗672例术后胆道残余结石病例的治疗效果及并发症。 结果 672例患者共取石治疗1589例次，治愈633例，失败39例，失败率为5.8%。 结论 术中T管位置放置不当、肝内胆管的巨大嵌顿性结石和(或)肝内胆管管状狭窄、残余结石位于肝脏边缘和“T”管脱落、窦道闭塞等，是影响胆道镜取石失败的主要原因。

    【关键词】 纤维胆道镜 残余结石

    Clinical analysis in treatment of residual stone of biliary tract with fibrocholedochoscopy

    Zhang Xinjun，Sun Zhiwei，Wang Junfeng

    Department of Hepatobilillary Surgery，First People's Hospital of Yunnan Province，Kunming，650032.

    【Abstract】 Objective To evaluate the effect of the treatment of residual stone of biliary tract with fibrochole-dochoscopy.Methods A retrospective analysis was made on672patients of cholelithiasis underwent fibrocholedo-choscopy through a surgically formed T tube fistula for residual stones from1994to2003.Results A total of1589times of fibrocholedochoscopy was performed with residual stones totally evacuated in633cases.The rate of failure was5.8%.Conclusion The incorrect place of T tube ......