目的：探讨应用胆道镜在胆道术后残石取出的临床效果和体会。方法选取2012年1月至2014年1月我院收治的90例胆道结石患者，作为研究对象。所有患者均经过胆道取石手术，且术后恢复良好。随机将所有患者分成观察组和治疗组，观察组经胆道镜行T管瘘道网篮进行取残石；对照组采用体外超声冲击波碎石。比较两组患者的残石排出效果，取石次数、并发症及治疗的总有效率情况。结果观察组患者残石排出率、取石次数、并发症情况明显较对照组具有优势，P＜0.05，具有统计学意义；患者出院后进行统计，观察组的总有效率明显高于对照组，P＜0.05，具有统计学意义。结论经胆道镜行胆道术残石取出具有安全可靠、并发症较少、患者创伤小、取石率高的优势。%Objective To explore the clinical efficacy and experience of choledochoscope in taking out residual stone after duct exploration. Methods 90 patients with bile gallstone treated in our hospital from Jan 2012 to Jan 2014 were selected as the study objects,and divided them into observation group and treatment group, biliarystone removal had applied in all patients ,and the observation group took out the residual stone by T tube fistula basket,control group broke the residual stone by ultrasound. Stone removal effects, calculus removed frequency, complications and total effective rate of two groups were compared. Results Observation group had advantages in removal rate, calculus removed frequency,complication incidence over control group, P<0.05, difference was statistically significant;and the total effective rate of observation group was significantly higher than control group, P<0.05, with statistical significance. Conclusion Taking out residual stone after duct exploration is safe and reliable, having advantages of less complications, minimal trauma and high removal rate.
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