Rodionov V V, Moguchev V M, Mitrofanova G M, Pliusnin B I
Vestn Khir Im I I Grek. 1983 Jun;130(6):38-42.
The authors have analyzed the experience with using fibrocholedochoscopy in 136 patients mainly with complicated forms of cholelithiasis. The endoscopic examination was found to be more effective in the revealing and better differentiation of various forms of cholangitis. It facilitated the detection of small concrements in the intrahepatic ducts and the terminal portion of the common bile duct which had not been found by other methods and helped to diagnose cicatricial strictures of the Vater's papilla. Fibrocholedochoscopy helped to choose the optimal method of finishing choledochotomy, gave considerably wider indications for tight suture of the common bile duct.
作者分析了136例主要患有复杂形式胆结石患者使用纤维胆道镜的经验。发现内镜检查在发现各种形式的胆管炎并进行更好的鉴别方面更有效。它有助于检测肝内胆管和胆总管末端未被其他方法发现的小结石,并有助于诊断 Vater 乳头的瘢痕性狭窄。纤维胆道镜有助于选择完成胆总管切开术的最佳方法,为胆总管紧密缝合提供了更广泛的适应症。