纤维胆道镜治疗胆道残石的效果与局限性

Effect and limitation on the treatment residual cholelithiasis by using cholangiofibroscopy

目的 总结胆道镜操作的技巧及胆道镜治疗肝胆管结石的局限性。方法 对应用纤维胆道镜治疗胆道残石72例进行回顾性分析。结果 71例治愈, 1例取石失败(1.4％)。16例(22.6％)肝内胆道狭窄未作处理。结论 熟练的胆道镜技术加上足够的耐心,可以明显降低残石率。开腹手术时应重视并解决胆道狭窄。

Objective To summarize the skill of the operation of cholangiofibroscopy and the limitation in the treatment of cholelithiasis. Methods Retrospective analysis on 72 cases of residual stone treated by cholangio-scopy. Results Among those 71(98.6%) cases were cured, 1 (1. 4% ) was failed in taking out the stone and 16 (22.6%) cases were not dealt with because of stricture of biliary tract.Conclusion Practical skill of cholangioscopy in addition of enough patience will obviously decrease the rate of residual stone. The stricture of biliary tract should be paid attention to in laparotomy.