电子胆道镜联合体内冲击波碎石治疗肝胆管残留结石的体会  

Experience of Electronic Choledochoscopy Combined with Internal Shock Wave Lithotripsy for Postoperative Residual Bile Duct Stones of Hepatolithiasis

作　　者：刘袁君[1] 朱宇[1] 王春华[1] 杨静[1] 罗丹[1] 冉恩容[1] 戴毅[1] 

机构地区：[1]四川省遂宁市中心医院肝胆外科,遂宁629000

出　　处：《中国微创外科杂志》2017年第9期856-858,共3页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的探讨经电子胆道镜联合体内冲击波碎石治疗肝胆管结石胆道探查术后残留结石的临床应用价值。方法回顾性分析2015年12月~2016年8月肝胆管结石胆道探查术后残留结石42例临床资料,经电子胆道镜联合体内冲击波碎石取石。结果结石取净40例,取净率95.2%(40/42);结石残留2例。无胆漏、医源性胰腺炎及胆道大出血等严重并发症。结论经电子胆道镜联合体内冲击波碎石治疗胆道探查术后肝胆管残留结石具有创伤小、并发症少、恢复快、治愈率高等优点,有较好的临床应用价值。Objective To investigate the c linic al appl icat ion value of electronic choledochoscopy combined with internal shock wave lithotripsy in the treatment of postoperative residual bile duct stones of hepatolithiasis. Methods The c linic al data of 42 patients who were diagnosed as having postoperative residual bile duct stones of hepatolithiasis and treated by electronic choledochoscopy combined with internal shock wave lithotripsy from December 2015 to August 2016 were retrospectively analyzed. Results The postoperative residual bi le duct stones were removed completely in 40 cases, the cure rate being 95. 2% （40/42）. There were 2 cases of residual stones. There was no severe complications such as bile leakage, iatrogenic pancreatitis or biliary tract hemorrhage. Conclusion Electronic choledochoscopy combined with inte rna l shock wave lithotripsy has good c linic al application value for treating postoperative residual bile duct stones of hepatolithiasis with small trauma, few complications, rapid recovery, and high cure rate.

关 键 词：电子胆道镜 肝胆管结石 体内冲击波碎石 

分 类 号：R657.42[医药卫生—外科学]