纤维胆道镜治疗胆道术后残余结石132例分析

THE TREATMENT OF POSTOPERATIVE RESIDUAL STONES WITH CHOLIDOCHO-FIBROSCOPE(A REPORT OF 132 CASES)

目的评估分析纤维胆道镜在治疗胆道术后残余结石的安全性及临床效果。方法回顾性分析2008年10月至2009年12月132例胆道术后残余结石行一次以上纤维胆道镜取石的疗效。结果全组132例患者中121例经纤维胆道镜取净结石,取净率91.7%;冲击波碎石62例,碎石率47.0%。治疗期间出现胆肠内瘘2例,其中1例取净结石,所有患者术后均未出现窦道断裂等严重并发症。结论纤维胆道镜取石创伤小,并发症少,恢复快,安全有效,是目前治疗胆道术后残余结石最有效的补救措施。

Objective To evaluate the efficacy and safety of cholidocho-fibroscope for postoperative residual stones.Methods Cholidocho-fibroscope in 132 patients of postoperative residual intrahepatic stones were analyzed retrospectively,who had been treatmented with cholidocho-fibroscope more than once.Results Residual intrahepatic stones were extracted successfully and totally in 121 patients of 132 cases（91.7%）,and 62 cases（47.0%） were lithoclasted by Shockwave.2 cases were complicated with biliary-enteric fistula,1 case was extracted totally.No cases were severe complications,such as rupture of T-tube fistula.Conclusion Cholidocho-fibroscope is the most effective treatment for postoperative residual stones currently for its little trauma,fewer complications,faster recovery,safety and effiective.