纤维胆道镜对胆道术后残余结石的应用效果评价

目的评价纤维胆道镜对胆道术后残余结石的应用及其技术要点。方法研究门诊胆道镜治疗的185例胆道手术后残余结石患者,使用网篮取石,液电碎石,冲洗管冲洗,充气球囊拖拽取石治疗的技术及效果。结果 185例患者1次取尽结石者142例,2次取尽者29例,3次取尽者6例,4次及4次以上取尽者8例。本组病例中出现发热28例,术后腹泻35例,10例术中胆道少量出血。结论纤维胆道镜及胆道镜下碎石治疗肝内外胆管残余结石是一种创伤小、安全、有效、便捷、并发症少,高效的方法。

Application of Fibercholedochoscopy Technique to Treating Postoperative Retained Calculi in Biliary Tracts and Its Effect

ObjectiveTo evaluate the effect of fibercholedochoscopy on postoperative retained calculi in biliary tracts and its technical points.MethodsStudy the technique and treatment effect of using basket extraction,electrohydraulic lithotripsy and flushing tube,and taking out stones by dragging with inflatable balloon during surgeries,which were applied to the 185 patients,receiving choledochofiberscopy treatment at our hospital clinic,with postoperative retained calculi in their biliary tracts from March 2010 to December 2012.ResultsOf all the 185 cases of patients,142 cases finished stone extraction at the first time,29 cases at the second time,6 cases at the third time and only 8 cases took four or more times.And of the 185 cases,28 cases had a fever,35 cases had a diarrhea after surgery and 10 cases had a mild hematobilia during surgery.ConclusionsFibercholedochoscopy and choledochoscope electrohydraulic lithotripsy is a safe,effective,convenient and efficient method for treating postoperative retained calculi in biliary tracts,which also has less trauma and few complications.