[1]李衍训,孙晋津.胆总管探查在胆管结石中应用的临床分析[J].医学信息,2018,31(15):99-102.[doi:10.3969/j.issn.1006-1959.2018.15.031]
 LI Yan-xun,SUN Jin-jin.Clinical Analysis of Exploration of the Common Bile Duct in Calculus of Bile Duct[J].Journal of Medical Information,2018,31(15):99-102.[doi:10.3969/j.issn.1006-1959.2018.15.031]
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胆总管探查在胆管结石中应用的临床分析()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
31卷
期数:
2018年15期
页码:
99-102
栏目:
临床研究
出版日期:
2018-08-01

文章信息/Info

Title:
Clinical Analysis of Exploration of the Common Bile Duct in Calculus of Bile Duct
文章编号:
1006-1959(2018)15-0099-04
作者:
李衍训1孙晋津2
1.天津市宝坻区人民医院/天津医科大学宝坻临床学院普外科,天津 301800; 2.天津医科大学第二医院/天津医科大学,天津 300070
Author(s):
LI Yan-xun1SUN Jin-jin2
1.Tianjin Baodi People's Hospital/Department of General Surgery,Baodi Clinical College of Tianjin Medical University,Tianjin 301800,China; 2.Second Hospital Affiliated to Tianjin Medical University/Tianjin Medical University,Tianjin 300070,China
关键词:
胆总管扩张胆管结石胆总管胆道镜
Keywords:
Key words:Common bile duct dilatationCalculus of bile ductCommon bile ductCholedochoscope
分类号:
R364.2+5;R575.7
DOI:
10.3969/j.issn.1006-1959.2018.15.031
文献标志码:
A
摘要:
目的 探讨开腹胆总管探查的适应条件、必要性、并发症及胆总管探查的最新进展。方法 对两家医院在2014年1月~2017年6月行开腹胆囊切除胆总管探查术62例患者的临床资料进行回顾性分析,探讨术中胆总管探查的必要性。结果 62例均痊愈,术中证实胆总管扩张 54例,胆总管探查发现结石50例,术中胆道镜探查发现残余结石14例,术后有4例患者出现并发症,其中胆总管残余结石1例,胆道感染2例,胆汁性腹膜炎1例。结论 开腹进行胆总管探查仍具有不可替代的位置,对于胆管多发结石、胆总管明显扩张的患者,术中胆道镜探查是必要的。
Abstract:
Abstract:Objective To explore the suitable conditions,necessity,complications and the latest progress of common bile duct exploration.Methods From January 2014 to June 2017,62 cases of choledochus exploration with open cholecystectomy and common bile duct exploration in two hospitals were retrospectively analyzed,and the necessity of common bile duct exploration during operation was discussed.Results All the 62 cases were cured, 54 cases were proved to have common bile duct dilatation,50 cases were found stones in common bile duct exploration,14 cases were found residual calculus during choledochoscopy during the operation.Postoperative complications occurred in 4 patients,including 1 case of residual calculus in common bile duct,2 cases of biliary tract infection,and 1 case of biliary peritonitis.Conclusion Open and exploration of the common bile duct still has an irreplaceable position.For patients with multiple bile duct calculus and obvious choledochectasia, intraoperative choledochoscopy is necessary.

参考文献/References:

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更新日期/Last Update: 2018-08-01