肝外胆管残余结石的发生、诊断和治疗

Extrahepatic billiary residual stone

目的 探讨肝外胆道残余结石。方法 分析１００ 例肝外胆道残余结石的情况。结果 胆囊切除后胆总管残余结石２７ 例，胆总管探查后残余结石７３ 例。经Ｔ管窦道取石２５ 例，内镜下经Ｏｄｄｉ 括约肌切开取石１０ 例。出院６５ 例中，３３ 例胆总管切开取石后再置Ｔ管，１８ 例作胆肠吻合术，１０ 例作Ｏｄｄｉ 括约肌切开成形术。结论 常规Ｔ管造影、Ｂ超、ＥＲＣＰ、ＭＲＣＰ是诊断的有效措施；根据不同情况，作相应的治疗。

Objective To investigate the extrahepatic billiary residual stone.Metheds Review th condition of extrahepatic billiary residual stone in 100 cases.Results Choledochal residual stone of postchlecystectomy in 27 cases.Post choledocholithotomy in 73 caese.Cholelithotomy through T tube sinus in 25 and sphincterotomy endoscopically in 10.In 65 outpatient cases,Post chlelithotomy T tube re insert in 33,cholangio enterostomy in 18,Oddi's sphincteroplasty 10 cases.Conclusion Rutine T tube cholangiography,B us,ERCP,MRCP were effective diagnostic method.According to different condition,appropriate treatment shall be carried out.