数字化X线机透视下联合液电碎石仪治疗肝胆管残余结石  

The combination of direct digital radiography and electrohydraulic shockwave lithotripsy in treatment of residual bile duct stones

作　　者：田大广[1] 朱全胜[2] 黄洁[1] 张捷[1] 李铁汉[1] 魏晓平[1] 胡明道[1] 李文[1] 

机构地区：[1]昆明医学院第二附属医院肝胆胰外科,云南昆明650101 [2]昆明医学院第二附属医院放射科,云南昆明650101

出　　处：《中国普通外科杂志》2007年第7期627-629,共3页China Journal of General Surgery

基　　金：云南省教育厅科学研究基金资助项目(06Y184C)

摘　　要：目的 总结应用数字化X线机透视下联合液电碎石仪治疗胆道残余结石的临床经验.方法 回顾性分析4年间应用数字化X线机透视下联合液电碎石仪治疗的60例肝内外胆管残余结石患者的临床资料.结果 一次取石成功57例（95.0 %）, 二次取石成功2例（3.3 %）,总治愈率为98.3 %.未取净结石1例（1.7 %）为合并胆管癌者,后改行手术治疗.击碎最大结石为3.0 cm×2.5 cm×2.0 cm.无胆道穿孔等严重并发症发生,59例随访6个月～1年,疗效均满意.结论 应用数字化X线机透视下联合液电碎石安全可行,效果好.Objective To summaize the experience of application of direct digital radiography and electrohydraulic shockwave lithotripsy in treatment of residual bile duct stones. Methods A retrospective analysis of clinical records of 60 patients with residual bile duct stones treated in our hospital from 2003 to 2006 was made. Results In 59 （ 95. 9% ） of 60 cases the stones were removed completely, including successful removal in one time of application of this method in 57 Patients （ 95.0 % ） , and 2 applications in 2 Patients （ 3.3 % ）. One case with bile duct stone complicated with dile duct cancer was unsuccessful. The biggest stone was 3. 5 cm × 2. 5 cm × 2. 0 cm. No serious complications occurred and changed to operation. The 59 cases were followed up for 6 mo to 1 yr, and all had a successful outcome. Conclusions The method of combination of direct digital radiography and electrohydraulic shockwave lithotripsy in treatment of postoperative residual bile duct stones after operation can facilitate removal of residual bile duct stones. The procedure is a safe way of treating residual stones.

关 键 词：胆结石/治疗 胆道残余结石 数字化X线机透视 液电碎石仪 

分 类 号：R657.42[医药卫生—外科学]