摘要
目的总结内镜下鼻胆管引流术、腹腔镜胆总管探查术及术中胆道镜取石联合治疗的方法及应用价值。方法回顾分析该院45例采用术前内镜下鼻胆管引流术+腹腔镜胆总管探查+术中胆道镜联合治疗胆总管结石并急性胆管炎患者的资料。结果所有患者均顺利置入鼻胆引流管,病情均缓解,术中取尽胆总管结石。1例有胆总管结石残留,在十二指肠镜下网篮取石成功。LCBDE术后残石率为2.4%。无胆道出血、胆漏、胰腺炎及胆道狭窄等并发症发生,无围手术期死亡。结论三镜联合在治疗胆总管结石并急性胆管炎中效果好、并发症少,值得推广。
[Objective] To summarize the application of a combined endoscopic nasobiliary drainage （ENBD）, laparoscopie common bile duct exploration （LCBDE） and intraoperative choledochoscopic lithotomy for the treatment of acute eholedoehitis with common duct stones. [Methods] The data of 45 patients with common duct stones and acute choledochitis were analyzed These patients were treated with preoperative ENBD, laparoscopie common bile duet exploration, and introperative choledoehoseopic lithotomy. [Result] The ENBD tubes were smoothly inserted in all the patients, patients＇ condition was relieved, all the common bile duct stones were taken out during the operations. Only 1 patient had one stone remained in common bile duet which was then taken out by net basket. The rate of residual stone after LCBDE was 2.4%, there were no hemobilia, bile leakage, panercatitis, biliary stricture, or other complication. No patients died in perioperative period. [ Conclusion ] This combination of three kinds of endoscopies for treatment of common bile duet stones with acute choledoehitis is useful with few complications, it is worthy of generalization.
出处
《中国内镜杂志》
CSCD
北大核心
2009年第8期840-842,共3页
China Journal of Endoscopy
关键词
胆总管结石
急性胆管炎
内镜下鼻胆管引流术
腹腔镜胆总管探查术
胆道镜检查术
common bile duct stones
acute eholedochitis
endoscopic nasobiliary drainage
laparoscopie common bile duct exploration
choledochoscopy
