摘要：目的：探讨床边胆道造影指导胆囊切除术治疗胆石症的手术护理经验。方法：回顾性分析64例采用床边胆道造影指导胆囊切除术治疗胆石症的手术过程的手术前护理、手术中配合的护理体会。结果：手术过程顺利开展，全部一次性清除左右胆管、胆总管残留的结石，手术中和手术后无严重并发症发生，患者恢复迅速。结论：详细的手术前护理、充分的器械及物品准备，仪器及器械的娴熟应用和熟练的手术配合是手术顺利, 快速开展，一次性清除左右胆管, 胆总管残留的结石, 减少胆石症患者胆囊切除术后胆道残留结石发生率, 取得治疗成功的必要条件。

    关键词： 床边胆道造影； 胆囊切除术； 胆石症

    Study on Cooperation at Operation with Cholecystectomy to Treat Cholelithias is Depending on the Result of Intraoperative Cholangiogram

    WANG Hua-xiang, SHU Yu-hua, CHEN Yan-zhu

    (The Second Affiliated Hospital of Shantou University Medical College , Guangdong Shantou 515041, China)

    Abstract：Objective: To gain insight into how nurses work well cooperation at operation with cholecystectomy to treat cholelithiasis depending on the result of intraoperative cholangiogram. Method: 64 cases of cholelithiasis patients with cholecystectomy to therapy the biliary calculi depending on the result of intraoperative cholangiogram were studied by retrospective analysis. Result: All the cases were operated smoothly and quickly on cholecystectomy to remove all biliary calculi in left and right biliary ducts and bile commoen duct without the severe complication, and all the patients recover quickly. Conclusion: In order to work well cooperation at operation with cholecystectomy to treat cholelithiasis quickly, in order to remove all biliary calculi in biliary ducts, and to decrease the rate of operation complication, the nurse must make good ready before the operation, including the equipment and drug, the nurse must cooperate perfectly during the operation. ......