胆道镜下钬激光碎石治疗肝胆管残余结石153例  

Laser lithotripsy under choledochoscope in the treatment of residual hepatolithiasis of 153 cases

作　　者：高杨[1] 张升宁[1] 张熙冰 李立[1] 冉江华[1] GAOYang;ZHANG Sheng-ning;ZHANG Xi-bing(The Department of Heptobiliary Pancreatic Vascular Surgery,theFirst People＇s Hospital of Kunming City,Kunming,Yunnan 650051,China)

机构地区：[1]昆明市第一人民医院肝胆胰血管外科,云南昆明650051

出　　处：《实用医药杂志》2018年第8期688-691,共4页Practical Journal of Medicine & Pharmacy

摘　　要：目的探讨钬激光在治疗肝胆管结石中的应用。方法回顾性分析153例肝胆管结石外科手术后患者资料,分为单用胆道镜取石组62例,和胆道镜结合钬激光碎石组91例,对比两组单次取石最长时间、取石次数、结石取尽率、取石前手术情况、并发症发生率、结石复发率等,并分析其原因。结果胆道镜结合钬激光碎石组比单用胆道镜取石组单次取石时间最长时间少,结石取尽率高,取石次数少,并发症发生率低,肝切除率低(P<0.05),两组术后结石复发率差异无统计学意义(P>0.05)。结论胆道镜下钬激光碎石在治疗肝胆管结石中效果良好,安全系数高,是一种可推荐的治疗肝胆管结石的方法。Objective To explore the effect of holmium laser for treating hepatolithiasis. Methods The153 patients who to surgical operation for hepatolithiasis were analyzed in this study there were 62 cases of single treatment of choledochoscope,and 91 cases of Holmium laser lithotripsy under choledochoscope,whose longest time for biliarystone removal,rate of completely remove stone,the conditionthe on surgical operation,complication incidence and recurrence rate. Were compared between groups,and the causes were analysed.Results Single choledochoscope,holmium laser lithotripsy under choledochoscope was less than the longest time,high calculus removed rate,few times of calculus removed,low complication incidence and low liver resection rate（P0.05）,but no statistical differences of calculus recurrence rate were found between two different operations（P0.05）. Conclusion The holmium laser lithotripsy under choledochoscope is safe and effective for hepatolithiasis.

关 键 词：胆道镜 钬激光 肝胆管结石 回顾性分析 

分 类 号：R616.2[医药卫生—外科学]