胆道镜在胆管残留结石防治中的作用(附108例报告)

Role of choledochoscopy in prevention and treatment of residual gallstones:report of 108 cases

目的 探讨纤维胆道镜 (胆道镜 )在降低胆管残留结石发生率和治疗残石中的应用价值。方法 对 10余年来胆道镜治疗的 10 8例胆管结石进行回顾性总结。结果 手术探查认为结石取净 ,术中行胆道镜检查后仍有 15 .8% (6 / 38)残留结石。术后经T管窦道取石 70例 ,取净率 97.1%。结论 术中及术后应用胆道镜检查可降低残留结石的发生率 ,经T管窦道取石是治疗术后残留结石最安全有效的方法 。

Objective To explore the clinical value of choledochoscopy in the decrease of the incidence of residual gallstones and the treatment of residual stones. Method One hundred and eight patients with residual gallstones through choledochoscopy were retrospectively reviewed. Results Operative examination proved that all the stones had been removed,but through choledochoscopy examination there were still 6 patients with residual stones in 38.Residual stones in 70 patients,were removed through T-tube sinus with the successful rate of 97.1%. Conclusion Choledochoscopy examination in and after operation can decrease the incidence of residual stones, and the removal of stones with T-tube sinus is the most securative and effective method in the treatment of residual stones,and can avoid reoperation.