【胆道镜诊断及胆囊结石切除失败的原因】。

Yu-bin Liu, Liang Huang, Zhi-yong Xian, Wei-dong Wang, Zhi-xiang Jian
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引用次数: 0

摘要

目的:探讨胆道镜诊断和切除胆囊结石失败的原因。方法:对714例经胆道镜手术治疗的胆结石进行回顾性分析。结果:术后胆管结石残留132例(18.5%)。54例胆管结石未能完全清除,甚至在关闭之前。术后经t管胆管造影及胆道镜检查发现胆管结石残留78例,其中合并肝内胆管及胆管开口狭窄29例,合并肝内胆管结石及胆管变异37例,合并胆管下段狭窄及结石形成12例。结论:胆道镜手术时应注意胆管变异、胆管开口狭窄或胆总管下段狭窄,应逐段仔细检查,尽量减少残留结石的可能性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Causes of failure in choledochoscopic diagnosis and removal of gallstone].

Objective: To discuss the causes for failure in diagnosis and removal of gallstone using choledochoscope.

Method: A retrospective analysis was conducted in 714 cases of gallstone treated with choledochoscopic operations.

Results: Residual stones in the bile duct were found in 132 (18.5%) cases after the operation. In 54 cases the bile duct stones failed to be completely removed even before the closure. By T-tube cholangiography and choledochoscopy after the operation, 78 cases were found to have residual bile duct stones, among them 29 were complicated with intrahepatic bile duct and bile duct opening stenosis, 37 with intrahepatic bile stone and bile duct variation, and 12 with choledochus inferior segment stenosis and stone formation.

Conclusion: Due attention should be paid during the choledochoscopic operation to bile duct variation, bile duct opening stenosis or choledochus inferior segment stenosis, which should be carefully inspected by segments in succession to minimize the possibility of residual stones.

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