经胆囊管胆道镜探查治疗继发性胆总管结石

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1、经胆囊管胆道镜探查治疗继发性胆总管结石经胆囊管胆道镜探查治疗继发性胆总管结石中图分类号:R575.7文献标识码：A文章编号：1672-3783(2008)-6-0031-02❷【摘要】目的探讨经扩张胆囊管电子胆道镜取出胆总管内结石后不放置型管的可行性及临床适应证。方法选择30例经胆囊管探查胆总管取石后不放置型管并与传统的放置型管方法进行比较。结果不放置型管组的患者术后住院时间平均为8d，放“T”型管者为14d，不放置“T”型管患者避免了型管引起的诸多并发症。结论术中经胆囊管入路胆道镜检查与传统的经胆总管前壁切开入路相比，具有创伤

2、小、安全、不损伤胆总管、免除患者术后带T管等优点。适用于胆囊结石合并胆•总管小结石或胆•道扩张可疑结石的患者，是比较理想的方法之一。❷【关键词】胆囊管胆总管结石胆道镜❷TheExplorationofDuctusCysticusthroughCysticDuct❷inCholedochoscopeforSecondaryChoiedocholithiasis❷XIONGYong,SUNChang-qin,LIUShu-guang,etal❷PanzhihuaCityCentreHospital,Panzhihua617067,S

3、ichuan,China[Abstract]ObjectiveToexplorethefeasibilityandclinicalindicationsofnotplacing"T"tubesafterremovecommonductstonesthroughexpansionofductuscysticusinelectriccholedochoscope・Method30casesofthecommonductstonesarenotplacedwithtubeaftercalculusremovedoperation.An

4、dthetraditionalplacedwith〃T'typeoftubes经胆囊管胆道镜探查治疗继发性胆总管结石经胆囊管胆道镜探查治疗继发性胆总管结石中图分类号:R575.7文献标识码：A文章编号：1672-3783(2008)-6-0031-02❷【摘要】目的探讨经扩张胆囊管电子胆道镜取出胆总管内结石后不放置型管的可行性及临床适应证。方法选择30例经胆囊管探查胆总管取石后不放置型管并与传统的放置型管方法进行比较。结果不放置型管组的患者术后住院时间平均为8d，放“T”型管者为14d，不放置“T”型管患者避免了型管引起的诸多并

5、发症。结论术中经胆囊管入路胆道镜检查与传统的经胆总管前壁切开入路相比，具有创伤小、安全、不损伤胆总管、免除患者术后带T管等优点。适用于胆囊结石合并胆•总管小结石或胆•道扩张可疑结石的患者，是比较理想的方法之一。❷【关键词】胆囊管胆总管结石胆道镜❷TheExplorationofDuctusCysticusthroughCysticDuct❷inCholedochoscopeforSecondaryChoiedocholithiasis❷XIONGYong,SUNChang-qin,LIUShu-guang,etal❷Panzhi

6、huaCityCentreHospital,Panzhihua617067,Sichuan,China[Abstract]ObjectiveToexplorethefeasibilityandclinicalindicationsofnotplacing"T"tubesafterremovecommonductstonesthroughexpansionofductuscysticusinelectriccholedochoscope・Method30casesofthecommonductstonesarenotplacedw

7、ithtubeaftercalculusremovedoperation.Andthetraditionalplacedwith〃T'typeoftubescomparedthegroupswhichnotwith"T〃tubes.ResultsThepatientswhonotuse〃T'tubeshasthepostoperativehospitalstayfor8days,andthepatientsplacingwithfor14days・Patientswhichnotwithtubetoavoidalotofcomp

8、licateddiseasecausedbytubes.ConclusionComparedtheapproachofcholedochescopeexaminationthroughtheductuscysticuswiththetraditionalappr