摘要
目的探讨经T管窦道输尿管镜气压弹道碎石治疗胆管残余结石的可行性和临床实用价值。方法回顾分析应用输尿管镜气压弹道碎石术经T管窦道治疗胆管残余结石67例患者的临床资料。结果 67例中3例因T管窦道条件不适合输尿管镜气压弹道碎石术治疗失败;另外64例中61例完全取净结石,结石取净率95.3%,3例结石残留,均无胆管炎、胆漏、胆道大出血、胆管及十二指肠损伤等并发症发生。结论输尿管镜气压弹道碎石术经T管窦道治疗胆管残余结石是一种操作简单、快捷、安全、临床效果良好的方法,具有实用性及可推广性。
Objective To evaluate the feasibility and applied value of ureteroscopic pneumatic lithotripsy through T-tube tract for the treatment of residual bile duct stones.Methods The data of 67 patients with residual bile duct stones were retrospectively analyzed.Results There were 3 cases failed of 67 cases treated with ureteroscopic.In 61 of the other 64 cases,the stones were extracted complete ly（The final stone-free rate was 95.3%） and 3 cases with residual stones.All cases had no cholangitis,bile leakage,biliary tract bleeding,bile duct and duodenal injury complications.Conclusions Treatment of residual bile duct stones with ureteroscopic pneumatic lithotripsy through T-tube tract is simple,convenient,safe and effective.
出处
《西部医学》
2011年第6期1077-1078,共2页
Medical Journal of West China
