摘要
目的评价纤维胆道镜下联合体内冲击波碎石在治疗术后肝内外胆管残余难治性结石的有效性、安全性。方法应用纤维胆道镜联合体内冲击波碎石、网篮取石,治疗肝内外胆管结石术后残余难治性结石650例。结果所有肝内外胆管残余难治性结石650例,均应用纤维胆道镜联合体内冲击波碎石,取净结石的患者623例,取净率为96%,无胆道出血、损伤、感染、急性胰腺炎等并发症的发生,碎石前后查血常规,肝肾功能,血淀粉酶无明显变化。结论肝内外胆管结石术后残余结石应用纤维胆道镜联合体内冲击波碎石是安全、高效的。
Objective To evaluate the efficacy and safety of combination of fiberoptic choledochoscopy with internal shockwave lithotripsy for postoperative residual stones in the intra-and extrahepatic biliary tracts.Methods 650 patients with postoperative residual calculi in the intra-and extrahepatic biliary ducts were treated with the intracorporeal shockwave lithotripsy under fiberoptic choledochoscopy.Results The intra-and extrahepatic calculi were successfully removed in 623 patients,and the complete stone clearance rate was 96% by the use of combination of fiberoptic choledochoscopy with internal shockwave lithotripsy.No hemobilia,biliary perforation,infection,acute pancreatitis,or other complications was observed in all patients.There was no alteration in white cells in blood,liver and kidney function,or hemodlastase before and after lithotripsy.Conclusion Combination of fiberoptic choledochoscopy with intracorporeal shockwave lithotripsy proved to be safe and effective for the removal of postoperative residual calculi in intra-and extrahepatic bile ducts.
出处
《肝胆外科杂志》
2011年第2期97-98,共2页
Journal of Hepatobiliary Surgery
关键词
胆管结石
纤维胆道镜
体内冲击波碎石
calculus of biliary duct
fiberoptic choledochoscopy
internal shockwave lithotripsy
作者简介
【通讯作者】孟翔凌。
