术中、术后应用经皮胆囊镜治疗肝胆管结石  

OPERATIVE AND POST OPERATIVE USE OF PERCUTANEOUS CHOLELITHOSC OPE FOR STONE EXTRACTION

作　　者：张冰[1] 林世杰[1] 陈焰[1] 杜锐锋[1] 杜云飞[1] 和红春[1] 

机构地区：[1]云南省红十字会医院肝胆外科

出　　处：《中华消化内镜杂志》1998年第6期336-338,共3页Chinese Journal of Digestive Endoscopy

摘　　要：为进一步提高肝胆管结石或残石的治疗效果，采用经皮胆囊镜治疗肝胆管结石或残石患者８４例。结果：术中碎石取石２６例，一次性取净结石２１例；术后经瘘道碎石取石５８例，５５例取净。结果证实经皮胆囊镜由于配有超声碎石系统、自动冲吸系统，应用灵活的碎石取石器械，使肝胆管结石或残石的处理变得安全、快速、有效，配合多种纤维胆道镜治疗时更能明显提高其治疗效果。Percutaneous cholelithoscope was attempted to extract hepatobiliary stones either during or after operation in 84 victims. With the scope stones were extirpated intraoperatively in 21/26 cases and post operatively in 55/58 cases. Results demonstrated that by deft use of its ultrasonic lithotripsy tools, automatic lavage aspiration system and stone extractors made the maneuvre safe, swift and effective. If it is cooperated with fibro choledochoscope the results would be further improved.

关 键 词：经皮胆囊镜 肝胆管结石 碎石取石术 

分 类 号：R657.420.5[医药卫生—外科学]