摘要
目的研究以及分析复发性胆道结石再手术治疗对策。方法选取医院2016年1月—2017年1月收治的50例复发性胆道结石再手术治疗患者,入院就诊时经医生检查均符合临床中有关复发性胆道结石的相关诊断标准。50例患者全部进行B超检查,对17例患者进行CT检查,对8例患者进行MRCP检查,对3例患者进行PTC检查,本研究组患者均择期进行手术治疗,采用纤维胆道镜进行探查取石。手术后,对患者进行纤维胆道镜进行探查以及B超检查和CT检查,确保无明显结石残留。结果在本研究组的50例患者无围手术期死亡案例,其中出现并发症4例,其中伤口感染2例。患者出院前经B超检查和CT检查检测均未发现结石残留。结论复发性胆道结石再手术会加大手术的风险以及操作难度,复发的原因是多方面的,再次手术消除结石,清除结石的病灶,对胆管进行矫正,防止结石复发尤为重要。
Objective To study and analyze the treatment of recurrent biliary calculi. Methods A total of 50 patients with recurrent biliary calculi were treated in hospital from January 2016 to January 2017. The patients were followed up by medical examination to meet the clinical diagnostic criteria for recurrent biliary calculi. All patients underwent B-ultrasonography. 17 patients underwent CT examination. MR examinations were performed on 8 patients. 3 underwent PTC examination. Patients in this study group were treated with electrosurgical treatment by fiber choledochoscope. The After surgery, patients with fiber choledochoscope for exploration and B-ultrasound and CT examination to ensure that no significant stones remain. Results In the study group, 50 patients had no perioperative death cases, with 4 patients with complications, including 2 cases of wound infection. Patients were discharged before the B-ultrasound and CT examination were found no residual stones. Conclusion Recurrence of recurrent biliary calculi will greatly increase the risk of operation and the difficulty of operation. The reason of recurrence is multifaceted. It is necessary to eliminate the stones again and remove the stones from the stones. The correction of the bile duct and the recurrence of the stones are especially important.
出处
《中国卫生标准管理》
2017年第6期39-40,共2页
China Health Standard Management
关键词
复发性胆道结石
再手术治疗
对策
recurrent bile duct stones
reoperation
countermeasure
