纤维胆道镜联合术中 B 超在肝胆管结石手术中的应用
党铁成
【期刊名称】《中国实用医刊》 【年(卷),期】2017(044)001 【
摘
要
】
Objective
To
investigate
the
application
of
fibercholedochoscopy combined with B-type ultrasound in the treatment of hepatolithiasis. Methods The 108 cases of hepatolithiasis were trea-ted by fibercholedochoscopy(group A,n = 54)or combined with B-type ultrasound(group B,n = 54), and followed up for 3 years. The stone recurrent rates,curative effects and residual stone rates were com-pared. Results Compared with group A,the stone recurrent rate and residual stone rate of group B were significantly lower(1. 85% vs 5. 56% and 7. 4% vs 18. 5% ,P ﹤ 0. 05). The curative effect of group B was more remarkable(P ﹤ 0. 05). However,there was no significant difference in complication between the two groups(P ﹥ 0. 05). Conclusions
The
fibercholedochoscopy
combined
with
B-type
ultrasound can reduce the postoperative residual stone rate,the rate of recurrence and improve the clinical curative effect,is the future development trend of intrahepatic duct stone surgery.%目的：探讨纤维胆道镜联合术中 B 超在肝胆管结石手术中的应用价值。方法选择108例肝胆管结石患者，术中随机采用单纯纤维胆道镜（A 组，n ＝54）和纤维胆道镜联合术中 B 超（B 组，n ＝54）治疗肝胆管结石。临床随访3年，记录术后患者并
纤维胆道镜联合术中 B 超在肝胆管结石手术中的应用
