摘要
目的：探讨腹腔镜下胆道镜联合胃镜取胆管及输尿管难取结石的可行性。方法：自2000年1月至2005年4月，在胆总管、输尿管探查术中，对〉3cm、多棱角、壳形、嵌顿等难取性结石，在胆道镜和胃镜的引导下，用自制的取石网篮套取；结果：对21例常规即水法冲洗、器械直接取石、胆道镜普通网篮取难取性结石失败者，均取石成功。结论：联合应用胆道镜、胃镜及改制的取石网篮，有效地提高了腹腔镜下胆管、输尿管探查术中的结石取尽率，具有创伤小、效牢高、并发症少，对胆管、输尿管难取性结石是一种有效的方法。
Objective： To explor the feasibility of treating the refractory biliary and ureter stones by laparoseopy through Combined eholedoehofibroseope and electronic gastroseopy. Methods： From January 2000 to April 2005, a total of 21 patients with the refractory biliary and ureter stones were reeived common bile-duet and ureter exploration under laparoseopy,according to huge stones larger than 3era （〉3cm）,tabular stones,shell-sharp stones,muhi-angularity stones and strangling stones,we use self-produced basket net and combine eholedochofibroseope and electronic gastroscopy to take out it. Results： All refractory biliary and ureter stones were unsuccessful in saline flushing,tools of laparoseopy, eholedoehiseopie common basket net;All were successful in using self-produced net and combining eholedoehofibroseope and electronic gastroseopy to take out refractory biliary and ureter stones. Conclusions： h is proved that stone clearance markedly improved by the operation of combined eholedoehofibroseope and electronic gastroseopy.It has the advantages of mini ivasion,high efficiency,and low postoperative complication rate.It is an effective alternative for patients with refractory biliary and ureter stones
出处
《中国内镜杂志》
CSCD
北大核心
2005年第B11期19-22,共4页
China Journal of Endoscopy
关键词
胆道镜和胃镜
难取性结石
胆管及输尿管
自制网篮
并发症
eholedoehofibroseope and electronic gastroscopy combined refractory stones biliary and ureter self-produced basket net
