摘要
目的探讨经皮肝穿刺胆道引流(PTCD)瘘道硬质胆镜取石治疗复发性胆石症的可行性、疗效及优势。方法回顾性分析2014年10月‐2016年1月该院经PTCD瘘道硬质胆镜取石治疗24例复发性胆石症的临床资料,其中胆总管结石19例,肝内外胆管结石5例,取石时机为PTCD术后5~110 d,平均(15.0±21.1)d。结果 24例均成功经PTCD瘘道硬质胆镜取石,手术时间(71.7±29.4)min,出血量(28.1±61.5)ml,术后住院5~15 d,平均(9.5±3.2)d,术后左肝胆管少许残石1例,右侧胸腔少量积液1例,胆道出血2例,瘘道出血1例,胆总管陈旧性积血1例。结论经PTCD瘘道硬质胆镜取石治疗复发性胆石症具有安全、有效及可行性,避免反复开刀带来的创伤。
[Objective]To investigate the feasibility,efficacy and advantages of rigid choledochoscope for recurrent cholelith disease via percutaneous transhepatic cholangial drainage（PTCD） fistula.[Methods]Retrospective analysis was performed on the clinical data from 24 cases,including 19 cases of common bile duct stones and 5 cases of extrahepatic and intrahepatic cholangiolithiasis,with recurrent cholelith disease treated with rigid choledochoscope via PTCD fistula at our hospital between October 2014 and January 2016.The timing of stone extraction was 5~110 d after PTCD,with an average of（15.0±21.1） d.[Results]In the group of 24 cases successfully treated,average operation duration was（71.7±29.4） min,perioperative bleeding amount was（28.1±61.5） ml,hospital stay was 5~15 d,with the average of（9.5±3.2） d.There were 1 case of postoperative residual stones in left hepatic duct,1 case of postoperative pleural effusion,2 cases of biliary tract hemorrhage,1 case of fistula bleeding,and 1 case of blood clot in common bile duct.[Conclusion]The approach is safe,effective and feasible,which can avoid trauma caused by repetitive operation.
出处
《中国医学工程》
2017年第3期32-36,共5页
China Medical Engineering
关键词
胆石症
胆道镜
经皮肝穿刺胆道引流
cholelith disease
choledochoscope
percutaneous transhepatic cholangial drainage
