U100plus激光治疗胆囊嵌顿结石效果分析  

The Efficacy Analysis of U100plus Laser in Treatment of Incarcerated Gallbladder Stones

作　　者：刘玉辉[1] 王秀敏[1] 叶盛[1] 安鲁彪 王毅[1] 史冠军[1] 石伟强[1] 宋彪[1] 

机构地区：[1]武警北京总队第三医院外一科 武警胆石病专病中心, 100141

出　　处：《天津医药》2014年第3期278-279,共2页Tianjin Medical Journal

摘　　要：目的：探讨U100plus激光碎石在胆囊颈管嵌顿结石中的应用价值。方法回顾性分析52例接受U100plus激光碎石治疗的胆囊颈管嵌顿结石患者的临床资料。结果本组52例均手术成功，其中12例因胆囊壁水肿明显，为防局部术后胆漏胆囊于附近放置引流管，术后2～4 d彩超检查无异常后拔除引流管。平均手术时间40 min，术中平均出血量2 mL，术后第1天均可下床活动，平均住院时间4 d。随访6～30个月，无特殊不适，彩超检查无结石复发。结论 U100plus激光碎石是治疗胆囊嵌顿结石安全而且有效的方法。Objective To investigate the application of U100plus laser in treating incarcerated in gallbladder stones. Methods The clinical data of 52 patients accepted U100plus laser lithotripsy of gallbladder neck incarcerated were retrospective analyzed. Results All 52 patients were successful treated by surgery. Twelve patients with gallbladder wall edema, drainage tubes were used to prevent bile leakage after gallbladder surgery. After 2~4 d, the ultrasound examination showed that no abnormal drainage, and tube was removed. The mean operative time was 40 min. The mean intraoperative bleeding was 2 mL. Patients were able to get out of bed 1 day after surgery. The average length of hospital stay was 4 d. Pa-tients were followed up for 6 to 30 months, and no special discomfort, The ultrasonography showed no stone recurrence. Conclusion U100plus laser lithotripsy is a safe and effective method for treating incarcerated gallbladder stones.

关 键 词：激光 胆道镜 腹腔镜 胆囊结石 U100plus激光 嵌顿结石 

分 类 号：R657.42[医药卫生—外科学]