摘要
目的探讨经扩张胆囊管电子胆道镜取出胆总管内结石后不放置“T”型管的可行性及临床适应证。方法选择30例经胆囊管探查胆总管取石后不放置“T”型管并与传统的放置“T”型管方法进行比较。结果不放置“T”型管组的患者术后住院时间平均为8d，放“T”型管者为14d，不放置“T”型管患者避免了“T”型管引起的诸多并发症。结论术中经胆囊管入路胆道镜检查与传统的经胆总管前壁切开入路相比，具有创伤小、安全、不损伤胆总管、免除患者术后带T管等优点。适用于胆囊结石合并胆总管小结石或胆道扩张可疑结石的患者，是比较理想的方法之一。
Objective To explore the feasibility and clinical indications of not placing＂ T＂ tubes after remove common duct stones through expansion of ductus cysticus in electric choledochoscope. Method 30 cases of the common duct stones are not placed with ＂T＂ tube after ealculus removed operation. And the traditional placed with ＂T＇type of tubes compared the groups which not with ＂T＂ tubes. Results The patients who not use ＂T＇tubes has the postoperative hospital stay for 8 days , and the patients placing with ＂T＂ for 14 days . Patients which not with ＂T＂ tube to avoid a lot of complicated disease caused by ＂T＂ tubes. Conclusion Compared the approach of choledochescope examination through the ductus cysticus with the traditional approach which by common bile duct anterior wall discussion, the former has some merits such as less trauma, secure, non common bile duct injury ,and the use of ＂T＂ tube after laparoscopic is avoidable . The techniques is a more ideal way which can be applied to patients of cholecystolithiasis combined with common bile duct microlith or patients who was suspected of having gallstone with biliary tract dilatation.
出处
《新医学导刊》
2008年第6期31-32,共2页
New Medical Science
关键词
胆囊管
胆总管结石
胆道镜
Ductus cysticus
Common duct stones
Choledochoscope
