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该院应用纤维胆道镜治疗肝内外胆管结石111例,在胆道手术中应用纤胆镜检查取石30例,术中取净27例,胆道术后残石率由未行术中纤胆镜的62%降至10%。在术后应用纤胆镜检查取石81例中,检查10例,取胆总管结石8例均取净,取肝内胆管结石63例取净60例,结石取净率为95.77%。该研究采用术中纤胆镜取石的改进方法,缩短了取石时间,提高了取石的效果和手术的质量。并报告了结石在肝内Ⅰ-Ⅳ级肝管的分布和治疗效果,探讨了取肝内结石的体会,总结出兼服中药排石汤和自制冲洗管反复冲洗抽吸两种新方法。
The hospital application of fiber choledochoscopy treatment of intrahepatic and extrahepatic bile duct stones in 111 cases, biliary tract surgery in the use of gibbous cholecystectomy stone in 30 cases, intraoperative take net in 27 cases, the rate of residual bile duct stones after surgery without 62 % Down to 10%. In the postoperative application of cholecystectomy stone in 81 cases, check 10 cases, take the common bile duct stones were taken in 8 cases, take 63 cases of intrahepatic bile duct stones in 60 cases, the stone removal rate was 95.77%. In this study, an improved method of intraoperative cholecystolithotomy was adopted to shorten the time of stone taking, improve the effect of stone taking and the quality of operation. And reported the distribution and therapeutic effect of stone in grade Ⅰ-Ⅳ hepatic duct in the liver. The experience of taking the stone in the liver was discussed, and two new methods of taking the traditional Chinese medicine Paishi Decoction and repeatedly washing and sucking the self-made flushing tube were summarized.