胆道镜联合体内微爆破碎石仪治疗89例难取性胆道结石临床分析  

Experience of clinical application of choledochoscopy and micro-blasting lithotripsy for refractory biliary calculi in 89 cases

作　　者：皮儒先[1] 陈平[1] 周渝阳[1] 肖静[1] 

机构地区：[1]第三军医大学大坪医院肝胆外科,重庆400042

出　　处：《重庆医学》2010年第9期1108-1109,共2页Chongqing medicine

摘　　要：目的探讨纤维胆道镜下体内微爆破碎石对难取性胆道结石的治疗效果。方法对开放性胆道手术中和术后胆总管残余结石取石困难的患者,利用纤维胆道镜下体内微爆破碎石89例(2～3级肝内胆管嵌顿及较大结石45例,胆总管下端结石嵌顿15例,术后胆总管残余巨大结石29例),对其治疗效果进行分析。结果结石取净率为97.7%,特别是术后胆总管残余结石,取石成功率为100%。明显提高了胆道取石的成功率。结论纤维胆道镜下体内微爆破碎石可有效治疗胆道术中和术后难取性结石,可予推广。Objective To explore the therapeutic effects of micro-blasting lithotripsy for refractory biliary calculi via fibro-optic choledocoscopy.Methods For the patients with refractory residual stones in choledoch during and after the open bile duct surgery,89 patients received the micro-blasting lithotripsy for refractory biliary calculi via fibro-optic choledocoscopy,including 45 patients with the bigger and incarcerated stones in intrahepatic bile duct of the level 2-3,15 patients with incarcerated stones in the lower part of common bile duct,29 patients with residual huge stones in choledoch after the surgery,and the therapeutic effects were evaluated.Results The extraction rate of bile duct stones was 97.7%,especially for the extraction rate of residual stones in choledoch was 100%,which obviously improved the success rate of stones extraction from bile duct.Conclusion Micro-blasting lithotripsy combined with fibro-optic choledocoscopy is an effective way for refractory biliary calculi and should be promoted.

关 键 词：胆道镜 体内微爆破碎石仪 胆道结石 

分 类 号：R657.42[医药卫生—外科学] R616.2[医药卫生—临床医学]