透视下联合纤维胆道镜治疗难取性胆道残余结石

THE APPLICATION VALUE OF THE COMBINATION OF THE DIRECT DIGITAL RADIOGRAPHY AND CHOLEDOCHFIBERSCOPE IN TREATMENT OF THE RESIDUAL BILE DUCT STONES AFTER OPERATION

目的总结应用数字化X线机透视下联合纤维胆道镜治疗难取性胆道残余结石的临床经验。方法对2005年1月至2006年1月在我院应用数字化X线机透视下联合纤维胆道镜治疗难取性胆道残余结石的50例肝内外胆管残余结石患者的疗效进行回顾性分析。结果50例患者一次取石成功41例(82.0%),二次取石成功9例(18.0%),击碎最大结石为3.5 cm×2.5 cm×2.0 cm。无胆道穿孔等严重并发症发生。结论应用数字化X线机透视下联合纤维胆道镜治疗难取性胆道残余结石能提高术后胆管残余结石的清除率,减少操作时间,有较高的安全性,值得推广应用。

Objective To summary the experiences of application of the direct digital radiography and choledochfiberscope in treatment of the residual bile duct stones after operation. Methods Retrospective analysis of 50 patients with residual bile duct stones after operation in our hospital from 2005 to 2006. Results 50 cases were removed completely intraoperation ,including sufficient once in 41 （ 82.0% ）, twice in 9 （ 18.0% ）. The biggest stone was 3.5 cm × 2.5 cm × 2. 0 cm. NO serious complications occurred. Conclusion The method of the combination of the direct digital radiography and choledochfiberscope in treatment of the residual bile duct stones after operation can ease removed the residual bile duct stones after operation. The procedure is a safe method way of treating residual stones, exspecialy for clinical application.