PDF下载 ( 1169 KB)
Clinical application of fiber choledochoscope in treatment of retained biliary tract stones: An analysis of 573 cases
-
摘要:
目的探讨纤维胆道镜治疗胆道术后残余结石的方法及价值。方法回顾分析2003年1月-2012年12月应用纤维胆道镜治疗术后胆管残余结石573例患者的临床资料。结果 573例患者中536例取净结石,取净率93.5%。取石次数1～7次,平均为（2.36±1.45）次。治疗期间一过性发热23例（4.0%）,腹泻42例（7.3%）,并发胆道出血7例（1.2%）,胰腺炎3例（0.5%）,窦道穿孔5例（0.9%）,均经保守治疗痊愈。结论纤维胆道镜技术是治疗术后胆管残余结石的安全、有效方法,应作为常规技术推广普及。
Abstract:Objective To investigate the clinical application and value of fiber choledochoscope in the treatment of postoperative retained biliary tract stones.Methods A retrospective analysis was performed on the clinical data of 573 patients with postoperative retained biliary tract stones who were treated by the fiber choledochoscope from January 2003 to December 2012.Results Among the 573 patients, 536 (93.5%) had stones removed completely.Stone removal was performed 1-7 times (2.36±1.45 times) in each case.The complications during treatment included transient fever (23 cases, 4.0%) , diarrhea (42 cases, 7.3%) , hemobilia (7 cases, 1.2%) , pancreatitis (3 cases, 0.5%) , and sinus perforation (5 cases, 0.9%) ;all the complications were cured by conservative therapy.Conclusion The stone-removing technique using fiber choledochoscope is a safe and effective method for treating postoperative retained biliary tract stones and deserves wide application.
-
Key words:
- fibercholedochoscopy /
- T-tube /
- cholelithiasis
-
[1]Feng QS, Zhang BS, Wei JJ.choledochoscopic treatment of intrac-table hepatolithiasis[J].Chin J Hepatobiliary Surg, 2000, 6 (3) :168-169. (in Chinese) 冯秋实, 张宝善, 魏久九.疑难肝内结石的胆镜治疗[J].中华肝胆外科杂志, 2000, 6 (3) :168-169. [2]Du RF, Zhang B, He HC, et al.Treatment of residual bile ductstones with choledochofiberscope via T-tube sinus[J].Chin J En-doscopy, 2007, 13 (8) :352-353. (in Chinese) 杜锐锋, 张冰, 和红春, 等.纤维胆道镜经T管窦道治疗术后胆道残石[J].中国内镜杂志, 2007, 13 (8) :352-353. [3]Xian GZ, Wu SD, Kong J, et al.Clinical experience with choledo-chofiberscope in the treatment of 787 patients with residual bile ductstones[J].J China Med Univ, 2008, 10 (5) :714-715. (in Chi-nese) 咸国哲, 吴硕东, 孔静, 等.787例纤维胆道镜治疗胆管残石的体会[J].中国医科大学学报, 2008, 10 (5) :714-715. [4]Liu SL.Application of choledochofiberscopy to treatment of postop-erative residual calculi in biliary tract (a report of 105 cases) [J].Chin J Endoscopy, 2009, 7 (7) :765-767. (in Chinese) 刘森林.纤维胆道镜在胆道术后残石治疗中的应用 (附105例报告) [J].中国内镜杂志, 2009, 7 (7) :765-767. [5]Gong LS, Zhang YD, He JT.Analysis of diagnostic reliability of re-tained stones after biliary operation[J].Chin J Modern Med, 2006, 16 (10) :1511-1513. (in Chinese) 龚连生, 张阳德, 何剪太.胆道术后残石诊断方法的可靠性分析[J].中国现代医学杂志, 2006, 16 (10) :1511-1513. [6]Chen JS, Shang CZ.Diagnostic imaging methods for hepatolithiasisand their rational selection[J].J Abdominal Surg, 2007, 20 (6) :331-332. (in Chinese) 陈积圣, 商昌珍.肝胆管结石的影像学诊断方法及其合理选择[J].腹部外科, 2007, 20 (6) :331-332. [7]Li LC, Zhu H, Li YH, et al.Surgical treatment by using cholangiosco-py for hepatolithiasis[J].Dig Surg, 2003, 2 (1) :48-50. (in Chi-nese) 李立春, 朱红, 李越华, 等.纤维胆道镜在肝内胆管结石外科治疗中的价值[J].消化外科, 2003, 2 (1) :48-50. [8] Huang ZQ, Gu ZY, Zhang XW, et al.Current situation of surgicaltreatment of hepatolithiasis in China[J].Chin J Surg, 1988, 26 (9) :513-522. (in Chinese) 黄志强, 顾倬云, 张晓卫, 等.我国肝内胆管结石外科治疗现状[J].中华外科杂志, 1988, 26 (9) :513-522. [9]Zhang BS.Clinical evaluation of“comet sign”in intrahepatic bileduct[J].Chin J Pract Surg, 1997, 17 (3) :182-183. (in Chi-nese) 张宝善.肝内胆管“彗星征”的临床评价[J].中国实用外科杂志, 1997, 17 (3) :182-183. [10]Chen J, Wang ZT, Tan SP.Intraoperative fibrocholangioscopy:itssignificance&approach[J].Chin J Dig Endoscopy, 2000, 17 (5) :280-282. (in Chinese) 陈剑, 王在同, 谭树平.术中胆道镜检的价值及入路选择[J].中华消化内镜杂志, 2000, 17 (5) :280-282. [11]Feng QS, Zhang BS, Wei JJ.The processing methods of T pipe o-verhang after choledochoscope operation[J].Chin J Endoscopy, 2000, 6 (2) :22-23. (in Chinese) 冯秋实, 张宝善, 魏久久.胆道镜术后T管脱出的处理方法[J].中国内镜杂志, 2000, 6 (2) :22-23. -
本文二维码
计量
- 文章访问数: 3354
- HTML全文浏览量: 21
- PDF下载量: 694
- 被引次数: 0
下载:
