术中12例经镜检及取石明确诊断,且防止了术后残留结石。
Of them, intraoperative diagnosis was made certain and stones were extracted in 12 eases, thus postoperative remnant stones could be avoided.
目的总结经“T”型管瘘道网篮导管清除胆道残留结石的经验。
Objective To study the techniqiue of cleaning residual biliary tract stones with the net basket catheter by "T" type duct and it's effect.
对于治疗后出现的临床无症状性残留结石碎片应作必要的定期复查。
Patients with clinically insignificant residual fragments should be regularly followed up to monitor the course of the disease.
目的探讨经胆道镜钬激光碎石治疗胆总管难取性残留结石的实用性及安全性。
Objective To investigate the practicability and safety of cholangioscopic holmium:YAG laser lithotripsy for refractory common bile duct residual stones.
结果:全部病例术后复查B超或经鼻胆管造影,显示胆道无残留结石无并发症。
Results: all the cases were rechecked by B-ultrasonic or radiography through nose-bile tube after operation, all the results showed no stone ever left in bile duct.
目的探讨输尿管镜下气压弹道碎石术后配合中药排石汤治疗降低术后残留结石的有效性。
Objective To explore the efficiency of the treatment of the urinary calculi which remained after the ballistic lithotripsy combined with ureterorenoscopy and the decoction to remove the calculi.
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.
结论胆道术后并发症主要由胆管扩张、狭窄和残留结石所致,MRI是诊断胆道术后并发症敏感而有效的手段。
Conclusion The biliary postoperative disoders is mainly caused by biliary dilatation, stricture and remnant stone, MRI is the sensitive and effective method for diagnosis of biliary abnormalities.
结果胆道畸形率3 .5 % ,术前诊断改变率4.4% ,术前未预期疾病发现率2 .4% ,胆道损伤率及残留结石率为零。
Results The rates of biliary duct abnormality, preoperative diagnosis change, preoperative inexpectant disease finding, bile injury and residual stone were 3.5%, 4.4%, 2.4% and 0%, respectively.
结果46例患者均一次性手术成功,无结石残留、严重出血、TURS等严重的并发症的发生。
Results All the 46 cases were operated successfully. There was no sever complications, such as residual calculi, serious bleeding, TURS et al, occurred.
结论胆道再次手术的主要原因仍是胆道结石残留或复发。
Conclusion Recurrent or retained bile duct stone is the main cause leading to biliary reoperation.
目的减少多发性肾结石手术中结石残留及肾组织的损伤。
Objective To reduce the remaining rate and renal injury of complex reneral stones during the surgery.
目的:探讨经内镜逆行胰胆管造影(ERCP)在胆囊切除术后残留胆总管结石诊治中的应用价值。
Objective:To study the efficacy of ERCP in the diagnosis and treatment of common bile duct(CBD)residual stones after cholecystectomy.
结论取石前胆汁色泽如呈米汤样改变或有絮状物,则必有结石残留。
Conclusion There must be residual stones while the bile is like rice-water or floccule before stones taken out.
结石残留、梗阻因素、尿路感染和代谢紊乱是尿路结石术后复发的主要因素。
Residual atone, obstruction, urinary tract infection and metabolic disorders were the main risk factors of stones recurred after surgical removal.
结论 :对于胆囊切除术后残留胆总管结石的患者,ERCP是理想的诊断方法,而且还可以同时进行治疗。
Objective: To study the efficacy of ERCP in the diagnosis and treatment of common bile duct (CBD) residual stones after cholecystectomy.
两组结石残留率、近期并发症发生率、住院费用等方面差异无显著性(P>0.05),而在手术时间、住院时间等方面差异有显著性(P<0.05)。
There was no significant difference in complication rate and hospital cost in two groups(P>0.05). But there was significant difference in time of operation and hospitalization(P<0.05).
两组结石残留率、近期并发症发生率、住院费用等方面差异无显著性(P>0.05),而在手术时间、住院时间等方面差异有显著性(P<0.05)。
There was no significant difference in complication rate and hospital cost in two groups(P>0.05). But there was significant difference in time of operation and hospitalization(P<0.05).
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