纤维胆道镜治疗肝胆管残余结石的评价

Evaluation of fibro-choledocoscope therapeutic effect for residual hepatic cholelithiasis

目的 :评价纤维胆道镜治疗肝胆管残余结石的作用。方法 :10年来对 4 0例肝胆管残余结石行纤维胆道镜取石治疗 ,所有病人均于手术后经引流管造影证实 ,术后 8周行胆道镜检查确认后取石。结果 :4 0例中 30例残余结石被取尽 ,取尽率为75 %。取石失败的原因为 :合并肝胆管管状狭窄 ,胆管有解剖变异 ,结石位于 3级以上胆管并嵌顿。结论 :纤维胆道镜治疗肝胆管残余结石具有重要作用 。

Objective:To evaluate the fibro choledocoscope therapeutic effect for residual hepatic cholelithaiasis. Methods :40 cases of residual hepatic cholelithiasis confirmed by T tube radiography were treated with fibro choledocoscope, all of the treatment were carried out 8 weeks after the operation.Results:The calculi of 30 cases were cleaned out. The clean out ratio was 75%. The reason for unsuccesful clean out included: accompanied cannular stricture of hepatic duct, aberrance of hepatic duct and inlaid calculi in grade 3 hepatic duct.Conclusion:Fibro choledoscope is a practical,effective method for residual hepatic chloelithiasis though with some limitation in some complex cases.