目的：探讨内镜治疗肝内外胆管残余结石的效果。
Objective: to assess the effectiveness of endoscopic in treating residual stones of intrahepatic and extrahepatic bile duct.
目的研究纤维胆道镜取石在肝胆管残余结石治疗上的价值以及彗星征定律的镜外表现。
Objectives To study the value of choledochofiberscope in treatment of residual intrahepatic stones and the outer scope expression of comet sign.
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.
结论术中胆道镜能明显降低肝胆管结石术后残余结石率及结石复发率，有助于术者选择合理的手术方式，值得推广。
Conclusion Intraoperative choledochoscopic technics is useful to decrease the residual stone rate and the recurrence rate, and helps to choose the proper methods of operations.
结论多路微创技术治疗肝内胆管结石具有手术创伤小，取石率高，残余结石率低的优点，值得推广。
Conclusions The treating of calculus of intrahepatic duct with multiple access minimal invasive technique is worth to spread because of lower trauma and remnant stones.
结果：104例术后无一例发生胆道残余结石和胆管下端狭窄而再次手术。
Results: the results showed that no case caused residual cholelith and the end of biliary ducts stenosis in 104 cases.
结论对于复发及残余肝胆管结石患者，应根据结石的部位、狭窄的程度等采取相应的治疗方法。
Conclusions The treatment methods for recurrent and residual hepatolithiasis should be adopted in accordance with stones distribution and stricture degree of bile duct.
此法对阻塞性黄疽，胆道残余结石，尤其对病情较复杂的肝胆管结石的诊断与治疗价值更大。
It is valuable in the diagnosis and treatment of obstructive jaundice, residual biliary calculi especially in cases of complicated intrahepatic stones.
此法对阻塞性黄疽，胆道残余结石，尤其对病情较复杂的肝胆管结石的诊断与治疗价值更大。
It is valuable in the diagnosis and treatment of obstructive jaundice, residual biliary calculi especially in cases of complicated intrahepatic stones.
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