胆道镜联合钬激光经胆囊管治疗肝硬化合并胆总管结石的疗效观察  

Clinical observation of choledochoscopy combined with holmium laser through cystic duct in the treatment of hepatocirrhosis complicated with choledocholithiasis

作　　者：张敬坡[1] 杜慧[2] 曹亚坤[3] 范跃[1] ZHANG Jing-po;DU Hui;CAO Ya-kun;FAN Yue(Department of General Surgery,the Third Hospital of Shijiazhuang,Hebei Province,Shijiazhuang 050011,China;Immunization Planning Institute,Hebei Center for Disease Prevention and Control,Shijiazhuang 050021,China;Department of Functional,the Third Hospital of Shijiazhuang,Hebei Province,Shijiazhuang 050011,China)

机构地区：[1]河北省石家庄市第三医院普外科,河北石家庄050011 [2]河北省疾病预防控制中心免疫规划所,河北石家庄050021 [3]河北省石家庄市第三医院功能科,河北石家庄050011

出　　处：《河北医科大学学报》2019年第11期1265-1268,共4页Journal of Hebei Medical University

基　　金：河北省医学科学研究重点课题(20160779)

摘　　要：目的评价胆道镜联合钬激光经胆囊管治疗肝硬化合并胆总管结石的有效性及安全性。方法回顾性分析31例接受胆道镜联合钬激光经胆囊管治疗肝硬化合并胆总管结石患者的结石清除和并发症发生情况。结果30例肝硬化合并胆总管结石经微创完全取出,术后无胆管损伤、出血、胆漏等并发症,随诊8~12个月,均无结石复发及胆管狭窄。结论胆道镜联合钬激光经胆囊管治疗肝硬化合并胆总管结石直观,安全有效,疗效确切。Objective To study the clincial effectiveness and safety of transcystic choledochoscopy combined with holmium laser for cirrhosis accompanied with choledocholithiasis.Methods Thirty-one cases of decompensated cirrhosis patients with choledocholithiasis were treated with transcystic choledochoscopy combined with holmium laser respectively.The complete stone clearance rate and complications were compared using retrospective analysis method.Results The cirrhosis accompanied with choledocholithiasis from 30 cases were completely removed.There were no bile duct injury,bleeding,bile leakage and other complications after operation.After followed up for 8-12 months,there was no recurrence of stones and bile duct stricture.Conclusion Transcystic choledochoscopy combined with holmium laser in the treatment of liver cirrhosis combined with common bile duct stones is safe,effective and accurate.

关 键 词：肝硬化 胆结石 钬激光 胆道镜 

分 类 号：R575.2[医药卫生—消化系统] R575.62[医药卫生—内科学]