摘要
回顾总结纤胆镜临床应用402例,术中胆道镜(IOC)应用后残石率从32.4%下降为5.6%。术后胆道镜(POC)确诊率达98.4%。POC取残石279例419次,取石成功率98.9%,取净率92.5%,24例在诊治中出现不良反应及并发症。文中讨论了纤胆镜应用注意事项,对比应用前、后期各6年的疗效,提出降低残石率的方法,指出对碘过敏未行T管造影者,POC检查应列为常规;强调POC是治疗胆道术后残石的首选方法。
This paper reports the application of choledochoscopy to 402 patierts with biliary diseases.In this group,the curative rate ofpostoperative residual biliary stone was 92.5% with a successful stoneremoving rate of 98.4% mAfter IOC,the rate of residual-stone decreased from 32.4% to 5.6%,The precautions of complications as well as some experiences ofconsiderableimportance about the usagc of POC are discussed.The author recommends the approaches of decreasing the rate of residual-stone in this paper.
出处
《南通医学院学报》
1995年第1期27-29,共3页
ACTA Academiae Medicinae Nantong
关键词
胆道外科
纤维胆道镜
临床应用
残石率
choledochoscopy
clinical performance,residual-stone rate