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纤维胆道镜在肝胆管结石中的临床应用
http://www.100md.com 《腹腔镜外科杂志》 2006年第2期
纤维胆道镜,,纤维胆道镜;胆管结石;探查,1资料与方法,2结果,3讨论,参考文献:
     【摘要】 目的:探讨纤维胆道镜在肝胆管结石术中、术后的应用价值。方法:回顾性总结纤维胆道镜探查取石46例,其中开腹术中取石13例,联合腹腔镜术中取石25例,术后经T管窦道取石8例。结果:本组46例用纤维胆道镜探查取石效果满意,术后造影正常,无残余结石。结论:术中应用纤维胆道镜探查取石可降低残余结石的发生率,经T管窦道取石是治疗术后残余结石最安全有效的方法,避免了再手术的痛苦。

    【关键词】 纤维胆道镜;胆管结石;探查

    Clinical application of choledochofiberscope in curation of biliary calculi

    ZHANG Zhenbo,YANG Fuquan,FENG Wei,et al.

    Center of Laparoscopy,Second People's Hospital of Shanxi Province,Xi'an 710005,China

    【Abstract】 Objective:To discuss the value of choledochofiberscope in treating choledocholithiasis during or after operation.Methods:a review of 46 cases with choledocholithiasis treated with choledochofiberscope were conducted.Among them,13 cases received laparotomy,25 cases combined with laparoscopy and 8 cases had the calculus removed through T tube sinus tract after operation.Results:All the cases had the calculi removed successfully with choledochofiberscope,with no remnant calculi.Conclusions:To explore the bile duct with choledochofiberscope during operation can reduce the rate of remnant calculus.And the best method to treat remnant calculus after operation is through Ttube sinus tract with choledochofiberscope,it is safe and effective,avoiding the suffering of reoperation. ......

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