新型取石钳联合胆道镜在肝胆管结石手术治疗中的应用(附87例分析)

Application of the New Forceps Combined with Fibrocholangioscopy during Operation in Patient with Intrahepatic Stone(a report of 87 cases)

目的 :探讨去除肝内胆管结石的有效方法 ,降低残石率。方法 :1996年 7月～ 2 0 0 2年 6月本院收治胆石症 2 35 6例 ,其中肝内胆管结石 87例 ,通过新型取石钳 ,在纤维胆道镜的指引下 ,取出肝内胆管结石。结果 :87例中有 79例结石完全取净 ,8例结石大部取净 ,但临床症状缓解率、残石率 9%。结论

Objective: To explore an effective method to take out the intrahepatic stone and decrease stone residue rate. Methods: 2356 patients with cholelithiasis were treated in our hospital from July 1996 to June 2002. 87 cases with complex intrahepatic stone were treated by the new forceps combined with fibrocholangioscopy. Results: The stone were taken out completely in 79 of 87 cases , mostly in 8 ,but clinical symptom alleviated and the stone residue rate was 9%. Conclusion: It is an effective method to take out intrahepatic stone by the new forceps combined with fibro-cholangioscopy.