胆道术后残余结石肝内外分布比例的分析

The Analysis on the Proportion between the Patients with Postoperatively Retained Extrahepatic and Intrahepatic Bile Duct Stones

目的从术后胆道残余结石在肝内分布比例的不同来分析术中胆道镜的作用。方法回顾性分析208例不同来源的术后胆道残余结石在肝内外分布情况。结果肝外胆管残余结石所占比例应用术中胆道镜组为2.8%,明显低于未应用术中胆道镜组33.3%(χ2=33.8999,P=0.0000)。未应用术中胆道镜的胆道残余结石患者肝外胆管残余结石所占比例外院组和本院组差异无显著性(χ2=0.0235,P=0.8782)。结论术中胆道镜应用可以直接减少肝外胆管残余结石病例数,术者不能忽视术中胆道镜的重要性。

Objective To Analyze the function of intraoperative eholedeehoseopy from the proportion between the patients with postoperatively retained extrahepatie and intrahepatie bile duet stones. Methods： Retrospectively analysis： the proportion of 208 patients with extrahepatie postoperatively retained bile duet stones, with or without intraoperative eholedeehoscopy in the exploration of common bile duet from different resource were analyzed. Results The proportion of extrahepatie postoperative retained bile duet stones accounts for 2.8 % for patients with intraoperative eholedeehoseopy in the exploration of common bile duet and was 33.3 % without intraoperative eholedeehoscopy （X^2 = 33. 89999, P = 0. 0000）. There is no difference between the patients without intraoperative eholedeehoscopy from the author＇s and from the other hospital in the proportion of extrahepatie postoperatively retained bile duet stones（X^2 = 0. 0235, P = 0. 8782）. Conclusions The number of patients of extrahepatie postoperative retained bile duet stones can be reduced by intraoperative eholedochoscopy in the exploration of common bile duet. The operator shouldn＇t neglect the importance of intraoperative eholedochoscepy.