摘要
本文报告术中胆道镜53例,明显降低了术后残石率。术后胆道镜453例,仅用取石网治愈80％以上病例,对一些困难病例加用插管溶石,激光碎石。总治愈率达93.9％。随访292例,2-10年无症状。无结石复发的占77％。讨论了影响疗效的因素是T管瘘道过细,过弯曲。远期结石复发的原因有肝硬化、胆道狭窄、胆管炎、蛔虫、置T管时间过长。
In this paper we repoct of Clinical application of choledochofiberscope 506 cases. In 53 cases of intraoperative application, postoperative biliary stone residue rate dropped to 3.8%. In 453 cases of postoperative application, the false positive cholangiogram stone shadow was excluded in 31 patients but residual stones were found in 3 patients with no stone shadow. The residual stones were completely removed with basket forceps in 341 patients (83.6%). Lithodialysis by inserting a catheter through choledochofiberscope and were laser cholehthotripsy done in 11 patients and 35 patients reopectively. The total cure rate was 93.9%. 29 cases were followed up with 93.5% of the patients showing good long-term-follow-up results.
出处
《昆明医学院学报》
1993年第2期8-12,共5页
Journal of Kunming Medical College
关键词
胆道镜检
碎石
胆结石
Choledochofiberscope
Calcus
Lithotomy
