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胆囊切除术后胆总管结石残留及留置T管患者的内镜下取石。是否合理?

Endoscopic removal of stone in patients with retained common bile duct stone and T-tube after cholecystectomy. Is it justified?

作者信息

Ovartlarnporn B, Piratvisuth T, Wacharasin R, Chongchitnant P, Maipang T, Petpichetchian C, Kuapanich R

机构信息

Department of Medicine, Faculty of Medicine, Prince of Songkla University, Hat Yai, Thailand.

出版信息

J Med Assoc Thai. 1992 Sep;75(9):524-8.

PMID:1304022
Abstract

Fifteen patients with retained common bile duct (CBD) stones and T-tube and twenty patients with CBD stones without T-tube had stones removed by endoscopic method. The result of endoscopic sphincterotomy, stone extraction, stone clearance and complication in patients with T-tube was similar to the results in patients without T-tube. The presence of T-tube did not create much difficulty in stone removal and the successful rate of 86.6 per cent (13/15) was satisfactory. Endoscopic removal of retained stones in patients with T-tube is recommended when retrieval via T-tube is not available since the later has fewer reported complications with very low mortality compared to the endoscopic technique.

摘要

15例胆总管(CBD)结石残留且带有T管的患者以及20例无T管的CBD结石患者通过内镜方法取出结石。有T管患者的内镜括约肌切开术、取石、结石清除及并发症结果与无T管患者相似。T管的存在并未给取石造成太大困难,86.6%(13/15)的成功率令人满意。当无法通过T管取石时,建议对有T管的患者进行内镜下残留结石取出术,因为与内镜技术相比,前者报告的并发症较少,死亡率极低。

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