纤维胆道镜术中术后应用100例体会

目的:评价纤维胆道镜在胆道结石治疗中的价值。方法:术中常规探查取石后用纤维胆道镜复查,发现残石继续取石。术后经T型管造影仍遗留残石者经窦道取石。结果:术中85例胆道结石常规取石后经胆道镜复查,残石率34.1％。经再次取石,术后T管造影残石率下降至11.8％,经窦道取石后最终残石率为2.4％;术后经T管窦道治疗残石15例,12例取净,取净率80％。结论:纤维胆道镜具有降低残石率,提高手术效果的作用。

Application of fiber biliary tract glass in and after operation (Report of 100 Cases)

Purpose: To study the value of applying fiber biliary tract glass in the treatment for patients with gallstone. Methods:The gallstones were removed with routine method, the residual gallstones were re-examinated and taken out by applying fiber biliarytract glass examination., then, the remained residual gallstones were removed through sinus after operation. Results: Of all the patients, 85 cases were treated with routine method, the rate of residual gallstone was 34. 1 %. After removing the residual gallstone through T type contrast examination and the sinus, the rate of residual gallstone reduced to 11.8% and 2.4% respectively. Of the 15 cases treated through T type tube examination and the sinus after operation, there were 12 cases whose residual gallstones were taken out completely (80%) . Conclusion: The results suggest that the fiber contrast examination play an important role in reducing the rate of residual gallstone and improving the effect of operation.