目的：探讨腹腔镜胆囊切除术(LC)中处理胆囊颈及胆囊管结石的方法。
Objective: to explore the methods of treating calculus in neck and duct of gallbladder in laparoscopic cholecystectomy (lc).
除常规探测方法之外，饮水法、脂餐法等特殊方法在胆囊管结石诊断中非常重要。
Besides the routine examination methods, it was important that some special ways, such as drinking water, fatty meal etc, should be used to diagnose cystic duct lithes.
扩张的胆囊管内出现强回声团，后方伴声影，是胆囊管结石直接征象，但其超声检查的敏感性不高；
Strong echoes in the dilated cystic ducts with shadows in posterior were the direct sign of the cystic duct lithes, but the sensitivity was very low.
方法回顾性分析15例经手术或ERCP证实的胆囊管结石患者，对其声像图表现和探测方法进行研究。
Methods Totally 15 patients with cystic duct lithes confirmed by operation or ERCP were analyzed retrospectively. The sonographic appearances and examination methods were studied.
从胆囊炎或胆结石病人的T管胆汁中分离出了糖蛋白。
Glycoprotion has been separated from t tube bile of patients with gallstone and biliary inflammation.
结果8例胆囊切除术，4例胆囊切除及胆总管探查T管引流术者在术后发现胆总管内残留结石。
Results Postoperative choledochal residual stones were found in 8 cases subject to cholecystectomy, and 4 cases subject to cholecystectomy plus t tube drainage following bile common duct.
目的探讨经胆囊管胆道镜探查胆总管治疗胆总管结石可行性。
Objective To evaluate the feasibility of exploration of ductus choledochus for choledocholelithes by choledochofiberoscope via cystic duct.
结果：术中造影发现胆囊管变异13例（18%），胆总管结石8例（11.1%），中转开腹3例（4.1%），无胆管损伤。
Results:Intraoperative angiography variation found 13 cases of cystic duct(18%), 8 cases of common bile duct stones(11.1%), three cases of conversion(4.1%), no bile duct injury.
目的探讨腹腔镜胆囊切除术中胆囊颈管结石漏诊的原因及其预防。
Objective to explore the reasons and prevention of cystic duct remnant calculi in laparoscopic cholecystectomy.
目的：探讨胆囊管残株结石的诊断和治疗方法。
Objective: To explore the diagnosis and treatment of cystic duct stump concretion.
结论单纯性胆囊切除术中常规经胆囊管造影可发现隐匿性胆总管结石，能有效减少胆管残余结石，减少胆道损伤。
Conclusion Routinal cholangiography through cystic duct in the simple cholecystectomy can find latent stone in the common duct, then reduce residual stone effectively and lessen biliary duct injury.
结果2例打开胆囊管并取出结石后再打开胆总管，胆囊管直接缝合，5例胆囊管均未解剖游离。
Results Cystic duct were opened and caught out stones, then closed by direct future in 2 cases.
结果2例打开胆囊管并取出结石后再打开胆总管，胆囊管直接缝合，5例胆囊管均未解剖游离。
Results Cystic duct were opened and caught out stones, then closed by direct future in 2 cases.
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