经T管窦道纤维胆道镜取石的临床分析

Clinical study on fibercholedochoscopy for removal of residual stones

目的探讨纤维胆道镜的临床应用。方法总结分析自1999年3月至2006年11月期间应用纤维胆道镜经术后T管窦道取石治疗198例。结果198例患者,取石一次112例,取石二次50例,取石三次25例,取石四次9例,效果较好。结论纤维胆道镜经术后T管窦道取石具有创伤小,痛苦少的优点。影响取石成功的因素包括T管窦道因素、结石因素、胆管因素以及操作技术水平因素。

Objective To evaluate the efficacy of fibereholedochoscopy for removal of residual stones after surgical choledochostomy. Method 198 cases of cholelithiasis underwent fibereholedochoscopy through surgically formed T tube fistulae for residual stones from March 1999 to November 2006. Result 120 cases were treated one time, 50 cases were treated two times, 25 cases were treated three times,9 cases were treated four times. Conclusion Postoperative fibereholedochoscopy through a T tube fistulae is a less traumatic remedy for postoperatively retained bile duct stones. Influencing factors for successful removal of residual stones are fistulae factor, stone factor, bile duct factor and operating endoscopic technique .