纤维胆道镜在胆道残余结石治疗中的临床应用

The Application Value of Choledochfiberscope in Treatment of the Residual Bile Duct Stones after Operation

目的总结纤维胆道镜在胆道残余结石治疗中的临床应用经验.方法回顾性分析对60例肝内外胆管残余结石应用纤维胆道镜治疗术后胆道残余结石的疗效.结果60例患者一次取石成功51例(85.0%),二次取石成功9例(15.0%),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.结论应用纤维胆道镜治疗术后胆道残余结石能提高术后胆管残余结石的清除率,有较高的安全性,值得推广应用.

Objective To summarize the experiences of the application of choledochfiberscope in the treatment of residual bile duct stones after operation. Methods Retrospective analyses of the effects of choledochfiberscope on 60 patients with residual bile duct stones after operation were carried out in our hospitals from Jan. 2005 to Jan. 2006. Results Stones were removed completely in the 60 cases, including successful 51 cases in the first attempt （85.0% ） and 9 cases in the second attempt （ 15.0% ） NO serious complications occurred. Conclusion The method . The biggest stone was 3.5 cm × 2. 5 cm × 2. 0 cm. of choledochfiberscope can be efficient in removing the residual bile duct stones after operation. The procedure is a safe way to treat residual stones and deserves clinical application.