| 应用纤维胆道镜治疗159例胆道术后残余结石的疗效及分析 |
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| 引用本文： | 吴一武,罗肇楠.应用纤维胆道镜治疗159例胆道术后残余结石的疗效及分析[J].湛江医学院学报,1992,10(1):314-316. |
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| 作者姓名： | 吴一武 罗肇楠 |
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| 作者单位： | 湛江中心人民医院外科，湛江中心人民医院外科，湛江中心人民医院外科 校友 |
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| 摘 要： | 应用纤维胆道镜治疗术后残石159例,其中肝内残石占93.1％,三、四级肝管以下残石占68.9％,取净率97.5％,使同期胆道术后最终残石率由67.3％,降至8.0％;讨论了提高残石取净率的方法,并报道了自制冲洗管反复冲洗和兼服中药排石汤二种新的方法。
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| 关 键 词： | 内镜 胆道结石 |
TREATMENT OF POSTOPERATIONAL RETAINED BILIARY CALCULI WITH CHOLEDOCHOFIBRESCOPE: REPORT OF 159 CASES |
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| Wu Yiwu Luo Zhaonan Ye Fucheng.TREATMENT OF POSTOPERATIONAL RETAINED BILIARY CALCULI WITH CHOLEDOCHOFIBRESCOPE: REPORT OF 159 CASES[J].Journal of Guangdong Medical College,1992,10(1):314-316. |
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| Authors: | Wu Yiwu Luo Zhaonan Ye Fucheng |
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| Abstract: | 1 59 postoperative patients with retained biliary stones extracted by means of choledochofibrescope were reviewed. Intrahepatic stone presented in 93. 1 % of these cases while 68. 9% of them had stones resided in the tertiary or quaternary branches of the biliary treact. After cholangiscopeic procedure the rate of complete stone removal was 97. 5% ,therefore the residual stone rate of 67. 3% after chloedochoto-my decreased to that of 8. 0% after both surgery and extraction via the endoscope at the same period. The experience in complete removal of stones has been discussed and two new ways of stones treatment are recommended. One is the efficient rinsing with the home-made washing pipe during the cholangis-copic extraction. The other is the adminis - treation of treaditional Chinese medicine as an adjuvant therapy. |
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| Keywords: | endoscope/treatment biliary calculi |
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