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纤维胆道镜的临床应用分析
作者：劳景茂 何文海
来源：《中国实用医药》2009年第02期
【摘要】 目的 探讨纤维胆道镜的临床应用和具体方法。方法 对2000-2007 年应用纤维胆道镜247例患者的临床资料进行回顾性分析。结果 术中肝外胆管结石182例，一次性取净率为100%；65例肝内外胆管结石，取净率为89．2%。术后胆管残留结石16例，经“T”管窦道取石，一次性取净9例(43．7%)；多次取石7例。结论 纤维胆道镜具有安全、准确、手术成功率高等优点，纤维胆道镜的应用是诊治胆管残石和降低胆管残石发生率的重要手段之一。 【关键词】纤维胆道镜；胆道结石
Clinical analysis of used fiber choledochoscope
LAO Jing-mao，HE Wen-hai.Department ofGeneral Surgery，the People’ｓ Hospital of Ｌingshan，Guangｘi535400，Ｃｈｉｎａ
【Abstract】 Objective To study the clinical application of fiber choledochoscopｅ in the treatment of bile duct diseases.Methods 247 cases with biel duct diseases who under wentfiber
rcholedochoscopy in 2000-2007 were analysed retrospectively.Results 182 patients with calculus who under went fiber choledochoscopｅ in operation successfully.65 patienｔｓ suffering from calculus of extrahepatic bile duct usedfiber choledochoscopｅ， the removal rate of operation was 89．2%.After the operation，16 cases were foundresidual bile duct stones.Residual stones in 9cases(43．7%)were remoned byfiber choledochoscopｅ only once through T-tube.7 caseｓ with bile ｃａｌｃｕｌｕｓ ｗｅｒｅ diagnosed byfiber choledochoscopｅ.Conclusion Fiber choledochoscope is an effective，simple andrapild method in treatment of bile duct stones with high achievement and less incidence
【Key words】Fiber choledochoscope； Bile calculus
传统手术治疗肝胆道结石术后残石率一直居高不下，是外科治疗中的难题，亦是再手术的重要原因。自纤维胆道镜问世以来，给肝胆道结石的治疗提供了一个全新的方法，明显降低了
纤维胆道镜的临床应用分析
