摘要
胆管结石是我国常见的胆道疾病,具有病情复杂、并发症多及术后残石率高等特点,目前主要以手术治疗为主。近年来腹腔镜联合胆道镜手术已普遍应用于胆管结石的治疗中,但对于术中碰到"看得见够不着"及"看得见取不出"的结石,仍属于一个难题。钬激光碎石术可解决各种复杂性、难取性结石,而腹腔镜下胆道镜联合钬激光碎石术具有准确碎石、减少损伤、快速康复、经济实惠等优点,且特别适合在基层医院开展。为此,本文主要从钬激光碎石在胆管结石治疗中的发展历程、原理特点、优势及安全性等方面进行综述,以期为胆管结石患者寻求更合适的手术方式。
Bile duct stones are a common biliary tract disease in China. It has the characteristics of complicated condition, many complications and high postoperative residual stone rate. Currently, it is mainly treated by surgery. In recent years, laparoscopic combined with choledochoscopy has been widely used in the treatment of bile duct stones, but it is still a problem for stones that are invisible during operation. Holmium laser lithotripsy can solve various complex and difficult-to-take stones, and laparoscopic choledochoscope combined with holmium laser lithotripsy has the advantages of accurate lithotripsy, reduced damage, rapid recovery, and economic benefits, and is particularly suitable for the grassroots Hospital development. To this end, this article mainly reviews the development history, principle characteristics, advantages and safety of holmium laser lithotripsy in the treatment of bile duct stones, in order to seek more suitable surgical methods for patients with bile duct stones.
作者
陈炫廷
陈春雷
CHEN Xuan-ting;CHEN Chun-lei(Guangdong Medical University,Zhanjiang 524000,Guangdong,China;The Second Affiliated Hospital of Guangdong Medical University,Zhanjiang 524000,Guangdong,China)
出处
《医学信息》
2020年第9期32-34,43,共4页
Journal of Medical Information
关键词
钬激光
胆管结石
腹腔镜
Holmium laser
Bile duct stones
Laparoscopy
