经T管输尿管软镜治疗胆总管残余结石1例报告  

T-tube flexible ureteroscopy in treatment of residual choledocholithiasis:A case report

作　　者：陈时红 吴栋[2] 文洪 陈元军 曹刚 CHEN Shihong;WU Dong;WEN Hong;CHEN Yuanjun;CAO Gang(Department of General Surgery,The Second People’s Hospital of Guizhou Province,Guiyang 550000,China;Department of Pancreatic Surgery,Qilu Hospital of Shandong University,Jinan 250000,China;Department of Hepatobiliary Surgery,Huishui County People’s Hospital,Qiannan Buyi and Miao Autonomous Prefecture,Guizhou 550600,China)

机构地区：[1]贵州省第二人民医院普通外科,贵阳550000 [2]山东大学齐鲁医院胰腺外科,济南250000 [3]贵州省黔南州惠水县人民医院肝胆普外科,贵州黔南布依族苗族自治州550600

出　　处：《临床肝胆病杂志》2023年第9期2179-2184,共6页Journal of Clinical Hepatology

基　　金：国家自然科学基金(81900731)。

摘　　要：目前,对于术后胆总管残余结石的治疗,内镜逆行胰胆管造影(ERCP)和经T管窦道取石是主要的治疗手段,但以上治疗方法都存在一定的弊端,例如ERCP可能引起术后胰腺炎、出血、穿孔等并发症,T管窦道取石可能引起窦道损伤、窦道出血等。而输尿管软镜作为泌尿外科常用器械之一,具有直径小、角度灵活等特点,对于治疗胆总管结石具有良好的前景。贵州省第二人民医院普通外科应用输尿管软镜联合取石篮成功治疗胆总管结石1例,至今已随访7个月,患者无特殊不适,复查磁共振胰胆管成像检查未见胆总管结石。At present,endoscopic retrograde cholangiopancreatography(ERCP)and T-tube sinus tract lithotomy are the main treatment methods for residual choledocholithiasis after surgery.However,these treatment methods have certain drawbacks;for example,ERCP may cause complications such as postoperative pancreatitis,bleeding,and perforation,and T-tube sinus tract lithotomy may cause sinus tract injury and bleeding.As a commonly used instrument in urology,flexible ureteroscope has the characteristics of small diameter and flexible angle and thus has a good prospect in the treatment of common bile duct stones.A patient with common bile duct stones was successfully treated by flexible ureteroscopy combined with a stone basket in Department of General Surgery,The Second People’s Hospital of Guizhou Province.Up to now,the patient has been followed up for seven months with no special discomfort,and magnetic resonance cholangiopancreatography showed no common bile duct stones.

关 键 词：胆总管结石病 输尿管镜 胰胆管造影术 磁共振 

分 类 号：R657.42[医药卫生—外科学]