【摘要】 目的探讨胆囊微小结石继发胆总管结石手术治疗方式的合理选择。方法对120例胆囊微小结石手术治疗病例术中是否常规经胆囊管胆管造影及联合使用胆管镜诊疗进行疗效对比。结果60例术中常规胆管造影及联合使用胆管镜诊疗组,术后残石率由15%(9/60)降为1.67%(1/60。)结论强调胆囊微小结石术中常规经胆囊管胆管造影及联合使用胆管镜诊疗可显著减少术后胆总管残石率。更多还原

【Abstract】 Objective Study the rational choice of surgical methods for the treatment of secondary oledocholithiasis caused by gallbladder microlithiasis. Methods Compared the therapeutic effectiveness of normative transcystic duct cholangiography and the coordinated application of choledochoscope for the treatment of gallbladder microlithiasis in 120 surgical patients.Results In 60 surgical cases,the application of normative cholescintigraphy and the coordinated application of choledochoscope reduce the residual rate of gallbladder microlithiasis from 15%(9/60)to 1.67% (1/60).Conclusion With regard to the surgical therapy of gallbladder microlithiasis,the application of normative transcystic duct cholangiography in coordination with choledochoscope could substantially reduce the rate of residual oledocholithiasis.更多还原