原发性胆管结石—纤胆镜下的观察、治疗及评价

• 作 者: 牛军 寿楠海 李兆亭
• 机 构: 山东医科大学附属医院外科,山东医科大学附属医院外科,山东医科大学附属医院外科,
• 出 处: 山东医科大学学报
• 发表日期: 1989年01期
• 关键词: 胆管病 残石率 壶腹部 胆石 纤胆镜 取净率 常规器械 胆管狭窄 胆总管探查指征 肝管

应用纤胆镜对80例术中、15例术后原发性胆管结石进行了观察和治疗。作者对胆石及残石的分布特点、结石伴发胆管病变及肝脏损害进行了分析,结合病理提出了纤胆镜下胆管炎的分级标准,并根据壶腹区状态、开口形状及病变发现,对其开口与病变的判断进行了讨论。用纤胆镜等多种器械联合取石,术中肝内残石率由64%降至21%。术后肝内残石取净率为71%。

The application of fibrocholoscopy in 80 cases of intraoperative and 15 cases of primary bile duct stones were observed and treated. The authors analyzed the distribution characteristics of gallstones and residual stones, stones associated with bile duct lesions and liver damage, combined with pathology to propose the classification criteria for choledochoscope cholangitis, and according to the status of the ampullary region, the shape of the opening, and lesions found, The opening and lesions were discussed. With a variety of equipment such as fibroscopic mirror stone removal, intraoperative liver residual stone rate decreased from 64% to 21%. The net stone removal rate after liver surgery was 71%.