摘要
目的探讨经胆囊造瘘予内镜电凝消除胆囊黏膜的可行性。方法 8例胆囊造瘘术后患者在连续硬脊膜外阻滞麻醉或基础加局部麻醉下行内镜胆囊黏膜消除。通过胆囊造瘘窦道插入Storz前列腺电切镜,分别用滚球和滚桶电极电凝消除胆囊黏膜,电凝功率60～70W,滚桶移动速度10～15mm/s,使胆囊内壁呈均匀棕灰色。结果内镜下操作时间35～55min,平均45min。术后1个月胆囊腔完全闭合者3例,3个月时另有3例完全闭合,另2例未闭合者形成潴留性囊肿。全部患者无并发症,无结石复发。结论用电切镜电极消除胆囊黏膜是胆囊造瘘后胆囊硬化闭塞的可行方法,可避免再次胆囊切除术。
[Objective] To investigate the feasibility of gallbladder mucosal ablation by hysteroscopic rollerball electrocoagulation after cholecystostomy.[Methods] Under epidural or general anesthesia combined with local anesthesia,8 patients were treated with hysteroscopy after cholecystostomy.After inserting a Storz endoscope,the epithelium of the proximal cystic duct and the mucosa of the gallbladder were ablated with the roller-ball and roller-barrel electrodes respectively.The electrocoagulation power was set at 60～70 W with the roller-barrel excursion rate between 10～15 mm/s,which makes the innerwall of the cyst homogenously brown-grey.[Results] The mean endoscopic operation time was 45 minutes（range：35～55）.Among the patients,the gallbladder lumen was completely obliterated within one month in 3 patients,and within 3 months in other 3;2 patients developed retention cysts.All the patients were cured with no complications,no stone recurrence.[Conclusion] Endoscopic electrocoagulation of the cholecystic mucosa is feasible for obliteration of the gallbladder.
出处
《中国内镜杂志》
CSCD
北大核心
2012年第1期75-77,共3页
China Journal of Endoscopy
关键词
胆囊造瘘术
胆囊黏膜消除术
电切镜
cholecystostomy
gallbladder mucosa ablation
hysteroscopic rollerball electrocoagulation
