摘要
目的 探讨术中纤维胆道镜检入路的可行性及应用价值。方法 回顾分析本院 1993年 10月至 1998年 12月间术中应用纤维胆道镜检 148例，其中胆总管入路 108例，胆囊管入路 20例，胆囊管胆总管汇合部入路 26例。结果 肝外胆管结石 103例，结石取净率 100％；肝内胆管结石 18例，术中取净 10例，残留结石率 37.5％；协助取活检 17例，检出肝门部胆管癌 5例，胆总管下段癌 8例，炎性病变 4例；阴性探查 6例。结论 纤维胆道镜的术中应用可以进一步降低残留结石率，简化胆石症手术方式 ;协助对胆道疾病的确诊，为术中确定合理的手术方案提供依据。目前情况下，经胆囊管、胆囊管胆总管汇合部切开、胆总管三种入路各有其适应证范围，只能相互补充，不可相互取代。
Objective The clinical significance and the approcach of inserting the scope were studied. Methods 148 patients underwent the examination in our hospital through October 1993 to December 1998. The scope was put into biliary system via common bile duct (CBD) in 108 cases, cystic duct in 20 and the confluence of the two in 26. Results Extrahepatic stones were found in 103 cases with total extirpation, while the intrahepatic ones were removed in only 10 out of 18 cases ( rate of residual stone=37.5％ ). Biopsies were taken in 17 cases with a detection of biliary cancer (n=5), CBD malignancy (n=8) and inflammatory change (n=4). Conclusion The application of intraoperative cholangioscopy offers ready reduction of residual stone and correct diagnosis with biopsy. The scope can be passed through cystic duct, CBD or their junction, depending on real conditions.
出处
《中华消化内镜杂志》
2000年第5期280-282,共3页
Chinese Journal of Digestive Endoscopy
