纤维胆道镜的临床应用分析

Clinical analysis of used fiber choledochoscope

目的探讨纤维胆道镜的临床应用和具体方法。方法对2000-2007年应用纤维胆道镜247例患者的临床资料进行回顾性分析。结果术中肝外胆管结石182例,一次性取净率为100%;65例肝内外胆管结石,取净率为89.2%。术后胆管残留结石16例,经"T"管窦道取石,一次性取净9例(43.7%);多次取石7例。结论纤维胆道镜具有安全、准确、手术成功率高等优点,纤维胆道镜的应用是诊治胆管残石和降低胆管残石发生率的重要手段之一。

Objective To study the clinical application of fiber choledochoscope in the treatment of bile duct diseases. Methods 247 cases with biel duct diseases who under went fiber rcholedochoscopy in 2000- 2007 were analysed retrospectively. Results 182 patients with calculus who under went fiber choledochoscope in operation successfully. 65 patients suffering from calculus of extrahepatic bile duct used fiber choledocho- scope, the removal rate of operation was 89.2%. After the operation, 16 cases were found residual bile duct stones. Residual stones in 9 cases（43.7% ）were remoncd by fiber choledochoscope only once through T-tube. 7 cases with bile calculus were diagnosed by fiber choledochoscope. Conclusion Fiber choledochoscope is an ef- fective, simple andrapild method in treatment of bile duct stones with high achievement and less incidence rate of residual stone.