【摘要】 目的 总结腹腔镜胆囊切除术(LC)后胆总管残留结石的护理措施。方法 回顾性分析我院1991年9月~2004年12月14000例LC术后17例胆总管残留结石的原因、治疗及护理。结果 LC术后17例胆总管残留结石，均由内镜逆行性胰胆管造影术(ERCP)确诊，其中通过十二指肠镜乳头括约肌切开术(EST)取出结石10例，再次手术取石7例。结论 通过应用ERCP和EST，不仅提高了对LC术后胆总管残留结石的诊断水平，尤其为胆总管残留结石找到了微创、有效、安全的治疗途径，并为相关的护理提供了新思路。

    【关键词】 腹腔镜胆囊切除；胆总管残留结石；护理

    New concept on the nursing of post-LC residual common bile duct stones

    SUN Jie,ZHANG Jing,QIU Yong-mei.

    Department of Hepatobiliary Surgery,Kunming General Hospital of PLA,Chengdu Command,Kunming 650032,China.

    【Abstract】 Objective To explore the nursing measures of post-LC residual common bile duct stones.Methods Between September 1991 and December 2004,14000 consecutive laparoscopic cholecystectomy (LC) were performed and 17(0.14%) patients were detected with residual common bile duct stones.Therapy and nursing of residual common bile duct stones were analysed retrospectively.Results All the patients with residual common bile duct stones were diagnosed by endoscopic retrograde cholangiopancreatography (ERCP).10 patients underwent endoscopic sphincterotomy (EST) and the stones were extracted successfully.The other 7 patients were cured by common bile duct exploration.Conclusion ERCP and EST not only improved diagnosis of common bile duct stones after LC,but also were effective and mini-invasive to post-LC residual common bile duct stones,and at the same time provided new views to the nursing. ......