电子胆道镜联合体内冲击波碎石治疗肝胆管残留结石的体会

发布时间：2018-02-24 06:00

  本文关键词： 电子胆道镜 肝胆管结石 体内冲击波碎石　出处：《中国微创外科杂志》2017年09期 　论文类型：期刊论文

【摘要】：目的探讨经电子胆道镜联合体内冲击波碎石治疗肝胆管结石胆道探查术后残留结石的临床应用价值。方法回顾性分析2015年12月~2016年8月肝胆管结石胆道探查术后残留结石42例临床资料,经电子胆道镜联合体内冲击波碎石取石。结果结石取净40例,取净率95.2%(40/42);结石残留2例。无胆漏、医源性胰腺炎及胆道大出血等严重并发症。结论经电子胆道镜联合体内冲击波碎石治疗胆道探查术后肝胆管残留结石具有创伤小、并发症少、恢复快、治愈率高等优点,有较好的临床应用价值。
[Abstract]:Objective to evaluate the clinical value of electronic choledochoscopy combined with shock wave lithotripsy in the treatment of residual stones after exploration of hepatobiliary duct calculi. Methods from December 2015 to August 2016, the clinical application of hepatolithiasis after exploration of biliary tract was analyzed retrospectively. Clinical data of 42 cases of residual stones, Results the lithotripsy and lithotripsy were performed by electron choledochoscope and shock wave lithotripsy in vivo. Results the stone was removed in 40 cases, the removal rate was 95.2%, the residual stone was 2 cases. There was no bile leakage. Conclusion Electron choledochoscopy combined with in vivo shock wave lithotripsy for the treatment of residual hepatolithiasis after biliary exploration has the advantages of less trauma, less complications, faster recovery and higher cure rate. It has good clinical application value.
【作者单位】： 四川省遂宁市中心医院肝胆外科;
【分类号】：R657.42

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