声频液压振动碎石治疗术后肝内胆管残石61例  

Audiofrequency hydraulic vibration lithotripsy treatment of 61 patients with postoperative residual hepatolitheasis

作　　者：杜运生[1] 郭振武[1] 史美媛[1] 王连福[1] 王翠兰 

机构地区：[1]河北省唐山市开滦矿务局总医院肝胆外科,063000

出　　处：《新消化病学杂志》1996年第5期268-269,共2页

摘　　要：目的评价声频液压振动碎石治疗肝内胆管结石的效果。方法用声频液压振动碎石机治疗术后肝内胆管残石。术后2周经 T 管治疗。根据结石大小确定声频频率,根据结石所在胆管深度定次声频频率,根据是以碎石或以排石为主确定声、次声自动交换时间,根据结石的部位采取不同的体位,根据患者的情况确定声强范围。每次20-30min。结果治疗术后肝内胆管残石61例,有效率98.4%,排净率87.9%,治疗后肝功能无损坏。结论声频液压振动碎石是治疗肝内胆管结石的好方法,对三级以上肝内胆管残石配合胆道镜取石可提高疗效。AIMS To evaluate the theraputic value of audiofrequency hydraulic vi- bration lithotripsy(AHVL)on postoperative residual hepatolitheasis. METHODS AHVL was performed 2 weeks after operation crush and e- liminate residual hepatolitheasis with T tube.According to the size and position of stones,the sound or infrasound and auto exchange of time was selected with 20-30 minutes each. RESULTS Stone discharge was 98.4%(60/61)and stones exhaust rate was 87.9%.The hepatic functions showed no changes after therapy. CONCLUSIONS The AHVL is a good newly-invented method in the treatment of post operative residual hepatolithesis with a good curative effect.

关 键 词：胆管结石 胆结石 碎石术 声频液压碎石 

分 类 号：R657.420.5[医药卫生—外科学]