经电子胆道镜U100双频激光治疗胆系结石的体会  

Treatment of biliary Calculi with the Double-Pulse U100 Laser through electronic choledochoscope

作　　者：缪林[1] 范志宁[1] 文卫[1] 熊观瀛[1] 吴萍[1] 蒋国斌[1] 章爱春[1] 李农[1] 张新建[1] 

机构地区：[1]南京医科大学第二附属医院消化内镜中心

出　　处：《中国内镜杂志》2006年第3期244-246,共3页China Journal of Endoscopy

摘　　要：目的探讨电子胆道镜下双频激光碎石对胆道术后残留结石的治疗效果及体会。方法对2003年1月～2005年3月,经T管窦道采用电子胆道镜双频激光碎石治疗胆道术后残留结石54例(肝外胆管结石16例,肝内胆管结石23例,肝内合并肝外胆管结石15例),对其治疗效果进行分析。结果53例治愈,治愈率98.15%,1例为远端肝内胆管结石,胆管过于狭窄,胆道镜无法进入而取石失败。结论电子胆道镜下双频激光碎石能有效治疗肝内外胆管残留结石。[Objective] To explore the therapeutic efficacy a,d safety of cholangioscopic double-pulse U100 laser for biliary duct residual stone after operation. [Methods] From January 2003 to march 2005, 54 patients with biliary duct residual stone after biliary duct operation were treated by double-pulse U100 laser under electronic choledochoscope, including 16 cases with extmhepatic bile duct stone, 23 cases with intrahepatic bile duct stone,15 cases with intrahepatic and extrahepatie bile duct stone. [Results] The successful rate of cure was 98.15 % （53/ 54）, 1 case with intrahepatic bile duct stone was failed to cure,because of biliary duet stenosis. [Conclusion] The double-pulse U100 laser under electronic choledochoscope is a safe and effective way in the treatment of intrahepatic and extrahepatic bile duct stone.

关 键 词：电子胆道镜 双频激光碎石 胆管结石 

分 类 号：R575.62[医药卫生—消化系统]