内镜下机械碎石术在胆总管结石治疗中的价值  

Value of endoscopic mechanical lithotripsy(EML) in management of common bile duct stones

作　　者：王成[1] 黄强[1] 谷新珠[1] 杨树高[1] 陈炯[1] 王士堂[1] 

机构地区：[1]安徽省立医院普外科,安徽合肥230001

出　　处：《肝胆胰外科杂志》2003年第1期31-32,共2页Journal of Hepatopancreatobiliary Surgery

基　　金：安徽省卫生厅科学基金资助项目 ( 2 0 0 2A0 41)

摘　　要：目的 :探讨内镜下机械碎石 (EML)的临床应用价值。方法 :回顾分析经EML取石治疗的 15例临床资料。结果 :15例病人中 ,14例碎石取石成功 ,成功率为 93.3% (14 / 15 ) ,复发 1例 ,复发率为 7.14 % (1/14 )。全组无因EST和EML操作所致的并发症发生。结论 :EML进一步扩展了胆总管结石的内镜治疗范围 ,具有微创、安全、并发症少、疗效肯定等特点 ,是治疗胆总管内大结石的重要方法。Objective:To investigate the clinical value of endoscopic mechanical lithotripsy in management of common bile duct stones.Methods:Retrospective analysis of clinical data of 15 cases underwent EML in our hospital during the periods of 1999.8～2002.3 was made.Results:EML failed in 1 case with a successful rate of 93.3%(14/15). One patient was found with stones recurrence,the recurrent rate was 7.14%(1/14).Conclusion:EML has enlarged the endoscopic treatment scope of common bile duct stones,it is a safe,effective and important means with few complications.

关 键 词：内镜 机械碎石术 胆总管结石 

分 类 号：R657.4[医药卫生—外科学]