胆道镜治疗胆管残余结石323例临床分析

Clinical application of treatment for residual bile duct stones by choledochoscope:an analysis of 323 cases

目的:探讨纤维胆道镜在治疗术后胆管残余结石中的应用。方法:回顾性分析应用纤维胆道镜治疗术后胆管残余结石323例患者的临床资料。采用取石网篮、胆道扩张气囊、冲洗管及液电碎石仪取石。结果:323例患者中317例取净结石,取石成功率98.14%,取石次数1～9次,平均2.1次,无胆道穿孔等严重并发症,有9例患者发生术后胆道少量出血,并发腹泻5例,发热6例,均经保守治疗后缓解。结论:纤维胆道镜技术是目前治疗术后胆管残余结石的有效方法。

Objective：To explore the application of choledochofiberscopy in the treatment of postoperative residual bile duct stones.Methods：Three hundred and twenty three patients with postoperative residual bile duct stones were analyzed through retrospective analysis.They underwent stone-removing with choledochofiberseopy using stone removing baskets,bile duct expanded balloon,flushing tube,apparatus of hydraulic electricity lithotomy.Results：Among 323 patients,317 cases＇ stones were taken out completely （98.14%）.The removing frequency was 1-9 times,average 2.1 times.Complicated perforation was none,hemobilia in 9 cases,diarrhea in 5 cases,fever in 6 cases,all were cured by conservative therapy.Conclusion：The eholedoehofiberscopic stone-removing technique is an effective approach for postoperative residual stones in bile duct.