摘要
目的:探讨胆道镜结合体内冲击波碎石治疗难取性肝内外胆管结石的疗效和安全性。方法:分析158例胆道镜结合体内冲击波碎石治疗难取性肝内外胆管结石的的资料。术中和(或)术后经胆道镜将碎石电极送至结石表面,在直视下进行碎石,再结合胆道镜取石和胆道冲洗,将结石取净。结果:本组158例碎石取石成功155例,总的碎石取石成功率为98.1%。所有病例均未发生胆道穿孔和胆道大出血等严重并发症。结论:胆道镜结合体内冲击波碎石是治疗难取性肝内外胆管结石的简便、安全、有效的方法,为肝内胆管结石的治疗提供了新的途径。
Objective：To evaluate the efficacy and safety of choledochoscopy combined with internal shock wave lithotripsy（ISWL） in treating refractory intrahepatic or extrahepatic biliary tract stones.Methods：The clinical data of a series of 158 patients with refractory intrahepatic or extrahepatic lithiasis treated by choledochoscopy combined with ISWL were retrospectively reviewed and analyzed.The lithotripsy was carried out after lower the probe tip directly onto the concrement through choledochoscopy with vodeo-monitor.All stones were cleared up with stone basket through choledochoscopy.Results：In this series,ISWL were successfully performed in 155 cases（98.1%） with no serious complications such as biliary tract perforation or hemorrhora.Conclusion：The therapy of choledochoscopy combined with ISWL for refractory intrahepatic or extrahepatic lithiasis is convenient,safe and effective.
出处
《中国临床医学》
北大核心
2008年第3期348-349,共2页
Chinese Journal of Clinical Medicine
关键词
胆道镜
难取性结石
体内冲击波碎石术
Choledochoscopy
Refractory Intrahepatic
Extrahepatic lithiasis
