摘要
目的总结应用纤维胆道镜辅以冲击波碎石治疗胆道术后残余结石的经验。方法回顾分析应用胆道镜经T管瘘道网篮取石辅以冲击波碎石治疗胆道术后残石1573例患者的临床资料。结果全组1573例患者中1511例成功取出全部残余结石而治愈,治愈率96.1%;每例患者取石次数为1～9次,平均为3.31次;治疗期间并发胆道出血3例,发热17例,腹泻22例,均经保守治疗痊愈。结论胆道镜取石辅以冲击波碎石安全有效,创伤小,并发症少,是当前治疗胆道术后残余结石的有效方法。
Objective To summarize our experience of choledochoscopy combined with shockwave lithotomy in the treatment of postoperative retained calculi in biliary tract. Methods Choledochoscopy via T-tube fistula and calculus-removing baskets combined with shockwave lithotomy was applied to treat 1 573 patients with postoperative retained calculi in the biliary tract, and the clinical data were analyzed retrospectively. Results Of 1 573 patients, 1 511 were cured （96. 1% ）. The calculus-removal sessions varied from 1 to 9 times （ average 3.31 times ） . Complications during treatment included hemobilia in 3 cases, fever in 17 cases and diarrhea in 22 cases rapy. Conclusions Owing to its advantages such as safety, effectiveness, mini-trauma and few complications, the choledochoscopic calculus-removing technique combined with shockwave lithotomy is currently an effective approach for treatment of postoperative retained calculi in the biliary tracts.
出处
《中国普通外科杂志》
CAS
CSCD
北大核心
2009年第8期779-781,共3页
China Journal of General Surgery
关键词
胆结石/治疗
胆道镜
残余结石
Cholelithiasis/ther
Choledochoscopy
Retained Calculi
