胆道探查术中及术后纤维胆道镜应用价值探讨(附216例报告).PDFVIP

-论著· 胆道探查术中及术后纤维胆道镜 应用价值探讨(附216例报告) “岁 A 蒲青凡孙碎康严律南 陈辰伟曹高建张海峰 孙广if-戴华卫 216例胆道探查手 【摘要1目的探讨纤维胆道镜在N_ili探杏术中及术后的应用价值。方法 术病人术巾常规使用胆道镜，102例同时使用术巾和术后胆道镜。结果90例肝胆管结石病人术中 联合应州目日道镜技术，术后残石率由46．7％(42／90)降为23．3％(21／90)，应用月H道镜经T管窦道结 n取净率为95．2％(20／21)。结论强调胆道探查术巾常规止用胆道镜有助于降低胆管残石率，肝 fiI!管结百术后经|l管窦道应用月H道镜技术可有效清除胆管残石。 【关键词】胆道外科手术；胆道探查；纤维胆道镜 Valueof and treahentfor intraoperativepostoperative蛐h∞c叩icpatientsundergoingexploration bile of of duct：areport216 325200， Department P尺．(■ina To thevalue and [Abstract]Objectivestudy ofIntraoperativepostoperativeeholedoehoscopic realmentfor ofthebile 216cases t patientsundergoing duct．MethodsAmongst undergo exploration ofthebileduct．102received and treat— ingexploration intraoperativepostoperativeeholedoehoscopic ment．Resalts with weretreatedwith Ninetypatientshepatolithiasis intraoperativeeholedochoscope． The retainedstoneratedecreasedfrom withre— 46．7％tO23．3％．Twenty-one postoperative patients lainedstoneweretreatedwithcholedochoscoDeTtubefistulas．The rateWaS through stone-clearing with 95．2％ConclusionsConventionaltreatmentchokdochoscoDeinthe ofthebileduct exploration lsuseful1()decreasethe retainedstonerateThe treat— postoperative postoperativecholedochoseoplc Ttubefistulascan removetheretainedstonesinthebileductin with inept