冷激光联合胆道镜治疗胆道术后残余结石效果分析  

Value of cold laser combined with choledochoscopy in treatment of residual stones after biliary surgery

作　　者：江哲龙 潘凡[1] 吕立志[1] 江艺[1] 

机构地区：[1]南京军区福州总医院肝胆外科,福州350025

出　　处：《临床肝胆病杂志》2016年第11期2138-2140,共3页Journal of Clinical Hepatology

基　　金：南京军区面上课题(15MS136);福建省自然基金项目面上课题(2016J01592);南京军区福州总医院院内课题(2014J08)

摘　　要：目的探讨冷激光联合胆道镜在胆道术后残余结石治疗中的应用价值。方法回顾性分析2015年1月-2016年6月南京军区福州总医院收治的79例胆道术后残余结石患者的临床资料,所有患者均在术后6周行冷激光联合胆道镜治疗,观察治愈率及并发症情况。结果 79例患者均碎石成功,治愈率100%。68例未出现术后并发症;7例术后出现腹胀、腹痛、腹泻,观察后自行缓解;4例术后出现畏冷、寒颤,对症治疗后症状好转。均未出现胆管损伤、胆道穿孔、胆漏、胆道出血等严重并发症。结论冷激光联合胆道镜治疗胆道术后残余结石效果好、安全性高、可重复性强,值得临床推广。Objective To investigate the value of cold laser combined with choledochoscopy in the treatment of residual stones after biliary surgery. Methods A retrospective analysis was performed for the clinical data of 79 patients with residual stones after biliary surgery who were admitted to Fuzhou General Hospital of Nanjing Military Area Command from January 2015 to June 2016. All the patients underwent cold laser combined with choledochoscopy at 6 weeks after surgery. The cure rate and complications were observed. Results All the patients underwent successful lithotripsy,and the cure rate was 100%. Of all the patients,68 did not experience any postoperative complication,7 experienced abdominal distension,abdominal pain,and diarrhea,which achieved spontaneous remission after observation,and 4 experienced fear of cold and chill,which were improved after symptomatic treatment. No patients experienced serious complications,such as bile duct injury,biliary tract perforation,bile leakage,and hematobilia. Conclusion Cold laser combined with choledochoscopy has a good effect,a high level of safety,and good repeatability in the treatment of residual stones after biliary surgery; therefore,it holds promise for clinical application.

关 键 词：胆结石 内窥镜检查 消化系统 碎石术 激光 

分 类 号：R657.42[医药卫生—外科学]