困难胆总管巨大结石的内镜下治疗  

Endoscopic Treatment of Difficult Larger Common Bile Duct Stones

作　　者：赵帅 任利[1] 崔紫烟 

机构地区：[1]青海大学附属医院肝胆胰外科,青海 西宁 [2]青海大学研究生院,青海 西宁

出　　处：《临床医学进展》2022年第12期12000-12007,共8页Advances in Clinical Medicine

摘　　要：胆总管结石是临床上的一种常见病,首选内镜治疗,困难胆总管巨大结石(直径 > 15 mm)难以通过常规内镜方式清除,需要内镜下乳头大球囊扩张术、机械碎石术、胆道镜辅助碎石、体外冲击波碎石和胆道支架植入术等介入治疗。现就这些手术方式的临床疗效、不良事件及结石未清除相关因素等作一综述。Common bile duct stones (CBDSs) are a common disease, and endoscopic therapy is the first-line treatment modality for this disease;However, difficult larger CBDSs (diameter > 15 mm) are diffi-cult to be removed by conventional endoscopic modalities, requiring endoscopic papillary large balloon dilation (EPLBD), mechanical lithotripsy (ML), cholangioscopy-assisted lithotripsy, extra-corporeal shock wave lithotripsy (ESWL), and biliary stenting interventions. We reviewed the clinical efficacy, adverse events in the above mentioned techniques for the treatment of difficult large CBDSs and factors associated with stones non-removal.

关 键 词：胆总管结石病 困难胆总管巨大结石 内镜技术 未清除因素 

分 类 号：R657.42[医药卫生—外科学]