术中应用纤维胆道镜对术后残余结石率的影响

Effect of biliary retained calculus rate after whether or not utilizing fibrocholedochoscope during operation

目的:探讨术中使用纤维胆道镜对胆道残余结石率的影响。方法:按术中是否使用纤维胆道镜取石分组,其中术中胆道镜组43例,对照组41例,然后对两组的手术时间、术后住院天数、残余结石率进行比较分析。结果:43例术中使用胆道镜患者,术后有残余结石3例,残余率6.98%。41例术中未使用胆道镜患者,术后有结石残余11例,残余率26.86%。两组比较术后残余结石率存在统计学差异(P<0.05),两组手术时间及住院天数无明显统计学差异(P均>0.05)。结论:术中应用纤维胆道镜探查取石可降低残余结石的发生率,同时可了解胆道解剖形态,术后并发症亦无增加,具有推广价值。

Objective：To study biliary retained calculus rate after whether or not utilizing fibrocholedochoscope during operation.Methods：Grouping the patients by whether or not utilizing fibrocholedochoscope during operation.43 patients utilized fibrocholedochoscope during operation,41 patients without utilizing it.Then of χ~2 test in surgical time,length of postopertative stay and retained calculus occurrence were analyzed.Results：Three of forty-three patients utilized fibrocholedochoscope during operation,with calculus retained,which accounted for 6.98%.There was no statisticsal difference（P〉0.05）.In surgical time,and length of postopertative stay between these two groups.Conclusion：It decreases retained calculus occurrence after utilizing fibrocholedochoscope to search and fetch stones during operation,which can observing biliary tract anatomic form,without postoperative complications increased,so it is valuable for promoting utilizing fibrocholedochoscope during operation.