胆道术中造影临床应用体会

Experience in clinical application of operative cholangiography

[目的] 探讨应用胆道术中造影对发现残留结石,提高胆道结石清除率的可行性。 [方法] 2000年1月至2002年12月,共施行选择性胆道造影95例,其中胆囊管造影73例,胆总管造影22例。 [结果] 胆囊管造影73例中,发现15例胆总管结石;胆总管造影22例中,发现4例残留结石。 [结论〗 胆道术中造影可减少常规胆总管探查,提高发现胆石残留的概率。

Objective] To discuss our experience in operative cholangiography in reducing the residual calculus. [Methods] Retrospective analysis was made on 95cases of operative cholangiography from January 2000 to December 2002. Cases were divided into two groups. Group 1: cholangiography through cystic duct was performed in 73 cases. Group 2: cholangiography through common bile duct was performed in 22 cases. [Results] Among group 1, 15 cases with stone in common bile duct were found, among group 2, 4 cases had residual stone. [Conclusion] The operative cholangiography can reduce the routine exploration of common bile duct and increase the discovery of residual gallstone.