液电碎石对胆囊壁损伤的试验研究  

An experimental study of gallbladder wall injury caused by electrohydraulic lithotripsy

作　　者：区奕猛[1] 罗永平[1] 余炯标[1] 唐亨力[1] 连福臻[1] 言纲[1] 

机构地区：[1]广东药学院第一附属医院肝胆外科,广东广州510080

出　　处：《肝胆胰外科杂志》2010年第1期32-33,37,共3页Journal of Hepatopancreatobiliary Surgery

摘　　要：目的探讨液电碎石对胆囊壁的损伤程度及其安全性。方法选择需要开腹行胆囊切除术的胆囊结石患者10例,在结扎胆囊管及保持其血运情况下,于充满生理盐水的胆囊内作平行及正对两组放电对胆囊壁的损伤试验,病理切片检测胆囊壁的损伤程度。结果不同强度放电对胆囊壁损伤有显著差异,不同方向放电对胆囊壁损伤差异有统计学意义。结论液电碎石对胆管壁有一定的损伤,但如果操作方式正确,液电碎石是一种有效的、安全的碎石方法。Objective To study the safety and degree of injury to gallbladder wall of electrohydraulic lithotripsy. Methods Ten patients with gallstone, who underwent open cholecystectomy, were included in this study. After ligation of cystic duct with maintenance of the blood supply, the walls received parallel or vertical discharges when the gallbladders were filled with saline, then the degree of injury of the walls was sliced and evaluated. Results Different degrees of gallbladder wall injury were observed with statistical significance in various intensities of discharge and in different discharging direction. Conclusion Electrohydraulic lithotripsy causes injury to gallbladder wall in a certain extent; however, it is still an effective and safe surgery if the man is correct.

关 键 词：胆囊 液电碎石 损伤 胆结石 

分 类 号：R657.4[医药卫生—外科学]