ERCP术中取出Hem-o-lok夹1例报道  

A Hem-o-lok clip removed during ERCP:one case report

作　　者：张倩[1] 邓登豪 刘军 陈炜炜 王璐 陈娟 徐庆成 王维钊 陈超伍 ZHANG Qian;DENG Denghao;LIU Jun;CHEN Weiwei;WANG Lu;CHEN Juan;XU Qingcheng;WANG Weizhao;CHEN Chaowu(Dalian Medical University,Dalian 116000;Department of Gastroenterology,Northern Jiangsu People′s Hospital;Department of Digestive Endoscopy Center,Northern Jiangsu People′s Hospital,China)

机构地区：[1]大连医科大学,辽宁大连116000 [2]苏北人民医院消化内科 [3]苏北人民医院消化内镜中心

出　　处：《胃肠病学和肝病学杂志》2022年第10期1199-1200,共2页Chinese Journal of Gastroenterology and Hepatology

摘　　要：腹腔镜胆囊切除术(laproscopic cholecystectomy,LC)和腹腔镜胆总管探查取石术(laparoscopic common bile duct exploration,LCBDE)是胆囊和胆道疾病的重要治疗方法。闭合夹广泛用于胆囊管和胆囊血管的结扎。移位的金属夹和Hem-o-lok夹多数是在外科手术中或留置的T管窦道经胆道镜探查发现,内镜逆行胰胆管造影术(endoscopic retrograde cholangiopan creatography,ERCP)术中发现Hem-o-lok夹移位至胆道的报道较为罕见。本文报道了1例ERCP术中成功取出移位至胆总管的Hem-o-lok夹的病例。Laparoscopic cholecystectomy(LC)and laparoscopic common bile duct exploration(LCBDE)are important methods for the treatment of gallbladder and biliary diseases.The closed clips are widely used for ligation of the cystic duct and cystic vessels.Migrated metal clips and Hem-o-lok clips were mostly found during surgery or exploration of indwelling T-tube sinus by choledochoscope,and the report that migration of Hem-o-lok clip to biliary tract was found during endoscopic retrograde cholangiopancreatography is relatively rare.This article reported a case of a Hem-o-lok clip migrated to common bile duct sucesssefully removed during ERCP.

关 键 词：内镜逆行胰胆管造影术 Hem-o-lok夹 腹腔镜胆囊切除术 

分 类 号：R575[医药卫生—消化系统]