纤维胆道镜220例的临床应用及并发症分析

Fibercholedochoscopy for the management of residual stone after choledochostomy: a report of 220 cases

目的 探讨纤维胆道镜的临床应用及并发症防治。方法 总结分析自 1993年 9月至2 0 0 2年 2月期间应用纤维胆道镜经术后“T”管窦道取石治疗 2 2 0例的治疗效果及并发症。结果2 2 0例患者共取石治疗 5 72例次 ,2 0 1例结石取净 ,结石取净率为 91 4 %。术后出现各种并发症共 84例次 ,无死亡病例。结论 纤维胆道镜经术后“T”管窦道取石具有创伤小、痛苦少、结石取净率高等优点。

Objective To evaluate the efficacy of fibercholedochoscopy for the removal of residual stones after a surgical choledochostomy. Methods Two hundred and twenty cases of cholelithiasis underwent fibercholedochoscopy through a surgically formed T tube fistulae for residual stones from Sept. 1993 to Feb. 2002. Results A total of 572 times of fibercholedochoscopy was performed with residual stones totally evacuated in 201 cases (91.4%). Complications developed in 84 cases with no mortality. Conclusion Postoperative fibercholedochoscopy through a T tube fistulae is less traumatic and effective remedy for postoperatively retained common bile duct stones.