肝外胆管结石

肝外胆管结石的微创治疗及手术方法的选择

Choosing of mini-invasive surgical treatment and operation about extrahepatic bile duct stone

其中MRCP诊断肝外胆管结石和恶性胆管梗阻的准确率分别是95%和654%。

In diagnosis of extrahepatic bile duct stone and malignant biliary obstruction , the diagnostic rate of MRCP were 95 % and 65 4 % , respectively .

结论超声引导EST具有较高的成功率，并与X线引导EST比较有着同样的安全性，但对术后有无肝外胆管结石残留的诊断存在一定的局限性。

Conclusions Ultrasound guided EST has higher success rates , the same safety as ERCP under X-ray , and some limitations in diagnosis on residual of extrahepatic biliary stone .

方法对45例肝外胆管结石进行超声引导EST，并将术后超声提示肝外胆管有无结石残留的结果与X线下内镜逆行性胆胰造影（ERCP）结果进行对照。

Methods Forty-five patients with extrahepatic biliary stone treated by EST under ultrasound guidance , the results demonstrated by ultrasound after treatment were compared with that by endoscopic retrograde cholangiopancreatography ( ERCP ) under X-ray .

目的比较十二指肠镜下胆管腔内超声（IDUS）和内镜下逆行胆管造影（ERC）诊断肝外胆管结石的作用。

Objective To compare the diagnostic accuracy of intraductal ultrasonography ( IDUS ) and endoscopic retrograde cholangiography ( ERC ) on extrahepatic bile duct stones .

结果：18例肝外胆管结石患者，术前MSCTC定位、定性诊断准确率达到100%。

RESULTS : In 18 patients with extrahepatic biliary stone , the accuracy rate of diagnosis by MSCTC was 100 % .

超声引导在肝外胆管结石内镜治疗中的应用研究

Study of ultrasound guidance on endoscopic therapy of extrahepatic biliary stone

微创治疗胆囊结石并非扩张性肝外胆管结石

Therapy of cholecystolithiasis and non-dilated extrahepatic bile duct calculus with micro-trauma

肝外胆管结石的系列化治疗方案研究

Serial scheme for surgical treatment of extrahepatic bile duct stone disease

肝外胆管结石110例超声诊断分析

Analysis of ultrasonographic features of 110 cases of extrahepatic bile duct stones

微创治疗肝外胆管结石阶梯性方案研究

Clinical study on step by step scheme of mini-invasive surgical treatment for extrahepatic bile duct stone

两镜联合微创治疗肝外胆管结石30例临床分析

Clinical analysis of 30 patients with extrahepatic biliary duct stones mini-invasive surgical treated by laparoscopy combined with duodenoscopy

三镜联合治疗肝外胆管结石（附251例报告）

Combined choledochoscopy , duodenoscopy and laparoscopy in treating extrahepatic bile duct stone : report of 251 cases .

目的探讨腹腔镜联合纤维胆道镜治疗肝外胆管结石的效果。

Objective To explore the effect of laparoscope combined with choledochoscope in the treatment of extrahepatic bile duct calculus .

结论超声对肝外胆管结石定位诊断准确率较高，具有重要的临床应用价值。

Conclusions Ultrasonography possesses high accuracy rate for localization diagnosing extrahepatic bile duct lithes and it is worthy for clinical application .

肝外胆管结石表现为靶征或胰头高密度影（14/24）。

The extrahepatic biliary duct stones display target sign or high attenuation shadow in the pancreatic head ( 14 / 24 ) .

目的探讨不同情况下肝外胆管结石的内镜、腹腔镜及其联合治疗的最佳方法，并创建微创治疗肝外胆管结石的阶梯性方案。

Objective To study the most appropriate approach to treat extrahepatic bile duct stone by duodenoscopy , laparoscopy and choledochoscopy , and to establish a step-by-step scheme of mini-invasive surgical treatment for extrahepatic bile duct stone .

胆道镜联合钬激光治疗肝外胆管残余结石的术后护理

Nursing Care after The Operation of Extrahepatic Billiary Residual Calculus by Choledochoscope and Holmium Laser

其中肝外胆管残留结石11例，钛夹部分夹闭胆总管4例。

In the 21 patients , 11 patients were caused by residual extrahepatic bile duct stones and 4 patients were caused by titanium clamp injuries .

超声诊断无症状性肝外胆管多发结石1例

Diagnosis of stones in extrahepatic bile duct in the absence symptoms with ultrasonography : report of a case

其中84例手术时胆总管切开探查取石后，即行纤胆镜检查，发现及取出肝内、外胆管结石共29例，术后复查有残余结石者2例，残石率为2.3%；

In 84 cases endoscopic examination was made immediately after choledocholithotomy , intra - and extrahepatic biliary stones were found and extracted in 29 cases and biliary neoplasm and biliary inflammation were observed in 3 and 52 cases respectively .

B超、T管造影和B超+T管造影检查，均不能作为判断肝外胆管是否有残余结石的依据。

B ultrasonography , T-tube cholangiography and B ultrasonography + T-tube cholangiography all were not reliable to diagnose extrahepatic duct stones .

结果显示，应用常规方法取石，肝内、肝外胆管结石的残石率分别为94%与15%，术中行胆道镜取石后，残石率分别降至19%与4%。

Before cholangioscopy examination residual stone rate of intrahepatic duct stone and extrahepatic duct stone operation was 94 % and 15 % respectively . After cholangioscopy examination residual stone rate was 19 % and 4 % respectively .

结果1.MRCP显示肝内胆管结石8例，肝外胆管结石68例，胆囊结石59例。

Results 1 . MRCP shows 8 cases of intrahepatic biliary stone , 68 cases of extrahepatic biliary stone , 59 cases of gallbladder stone .

结果：本组肝内胆管结石8例，肝外胆管结石9例，胆管狭窄4例，十二指肠乳头炎3例，胆囊管残留过长2例，残株胆囊炎2例，分别采用外科手术治疗；

Results : In this group there were respectively 8 calculi of intrahepatic duct , 9 calculi of extrahepatic duct , 4 stenosis of bile duct , 3 duodenal papillitis , 2 excess residual cystic duct and 2 stubble cholecystitis , which were managed surgically .

肝内胆管结石7例（438%），肝内及肝外胆管结石9例（563%）。

Seven of them had stones in intrahepatic ducts ( 43 8 % ), and nine in intra - and extra-hepatic ducts ( 56 3 % ) .