黑龙江医药
黑龍江醫藥
흑룡강의약
HEILONGJIANG MEDICAL JOURNAL
2015年
3期
601-602
,共2页
T管窦道%肝内胆管结石%二期手术
T管竇道%肝內膽管結石%二期手術
T관두도%간내담관결석%이기수술
T tube sinus%Calculus of intrahepatic duct%The two stage operation
目的：探讨应用胆道镜经T管窦道二期治疗肝内胆管多发结石的疗效。方法：选取2012年5月份至2013年8月份42例肝内胆管多发结石病例，进行回顾性研究分析，所有病例已行一期手术取出部分结石，留置T管，两至三个月后回院经T管窦道行硬性胆道镜探查并取出肝内胆管残留结石，其中男性27例，女性15例。结果：所有病例顺利出院，无出现胆瘘、伤口感染等并发症，其中33例通过二期手术已取干净肝内胆管结石，7例因结石存在于细小胆管或因角度问题胆道镜无通过而残留小部分结石，但不影响主要胆管的通畅引流，在术后的复查中亦未见残留结石下降至左右肝管或胆总管引起梗阻。结论：硬性胆道镜经T管窦道取石，对于治疗一期手术手术不能一次性取干净的肝内胆管多发结石，创伤小，取石效果满意，住院周期短。值得推广。
目的：探討應用膽道鏡經T管竇道二期治療肝內膽管多髮結石的療效。方法：選取2012年5月份至2013年8月份42例肝內膽管多髮結石病例，進行迴顧性研究分析，所有病例已行一期手術取齣部分結石，留置T管，兩至三箇月後迴院經T管竇道行硬性膽道鏡探查併取齣肝內膽管殘留結石，其中男性27例，女性15例。結果：所有病例順利齣院，無齣現膽瘺、傷口感染等併髮癥，其中33例通過二期手術已取榦淨肝內膽管結石，7例因結石存在于細小膽管或因角度問題膽道鏡無通過而殘留小部分結石，但不影響主要膽管的通暢引流，在術後的複查中亦未見殘留結石下降至左右肝管或膽總管引起梗阻。結論：硬性膽道鏡經T管竇道取石，對于治療一期手術手術不能一次性取榦淨的肝內膽管多髮結石，創傷小，取石效果滿意，住院週期短。值得推廣。
목적：탐토응용담도경경T관두도이기치료간내담관다발결석적료효。방법：선취2012년5월빈지2013년8월빈42례간내담관다발결석병례，진행회고성연구분석，소유병례이행일기수술취출부분결석，류치T관，량지삼개월후회원경T관두도행경성담도경탐사병취출간내담관잔류결석，기중남성27례，녀성15례。결과：소유병례순리출원，무출현담루、상구감염등병발증，기중33례통과이기수술이취간정간내담관결석，7례인결석존재우세소담관혹인각도문제담도경무통과이잔류소부분결석，단불영향주요담관적통창인류，재술후적복사중역미견잔류결석하강지좌우간관혹담총관인기경조。결론：경성담도경경T관두도취석，대우치료일기수술수술불능일차성취간정적간내담관다발결석，창상소，취석효과만의，주원주기단。치득추엄。
Objective: To explore the effect of application of choledochoscope through T tube sinus in the treatment of in-trahepatic duct two stage multiple calculi. Methods:from 2012 May to 2013 August, 42 cases of calculus of intrahepatic duct cases, were retrospectively analyzed, all the cases have been performed one stage operation to remove parts of calculus, T in-dwelling tube, two to three months after the back to school through T tube sinus Daoxing rigid cholangioscopy and remove the intrahepatic bile duct residual stone, there were 27 males, 15 females. Results:all the patients discharged smoothly, with-out the emergence of biliary fistula, wound infection and other complications, including 33 cases of the two stage operation has taken clean calculus of intrahepatic duct, 7 cases with stones exist in small bile duct or by angle problem by choledochoscope and small part without residual stones, but does not affect the main bile duct drainage, in the postoperative residual stones in the review also did not fall to the left and right hepatic duct or the common bile duct obstruction. Conclusion: choledocho-scope via T tube sinus tract lithotomy treatment for a period of operation, operation can not be a one-time clean calculus of in-trahepatic duct stone, small trauma, satisfactory effect, short pe-riod in hospital. It is worth to be promoted.
