摘要
目的探讨治疗复杂性肝内胆管结石、减少手术后残石率,提高疗效的临床治疗方式。方法开腹手术,切开胆总管,采用肾镜作为硬性胆道镜,连接碎石、取石、冲洗系统及器械进行碎石、取石。结果全组51例手术均获成功,无手术死亡,无术后胆道出血、胆漏等并发症,术后残留结石2例,均为Ⅲ级以上胆管小结石,随访3～27个月,无临床症状。结论经腹手术入路,采用硬性胆道镜治疗复杂性肝内胆管结石,术后残石率低,减少住院时间,降低住院费用,临床治疗效果好。
Objective To discuss the clinical treatment for complicated hepatolithiasis,reduce the rate of residual stone after surgical treatment,and improve the therapeutic effect.Methods Laparotomy was performed and the common bile duct was split.Nephroscope was used as rigid cholangioscopy,which was connected to the stone comminuting system,so as to flush and remove the stones.Results All the 51 cases were successful in the surgical operation without operative mortality and complications such as hemobilia and bile leakage.Postoperative residual stones,which were small and in the third-level or above intrahepatic bile ducts,were found in two cases.There existed no clinical symptoms in the follow-up of 3-27 months.Conclusion Transabdominal surgical approach plus rigid cholangioscopy can decrease the rate of residual stones after operation,reduce length and costs of hospitalization,and improve the clinical effectiveness in curing complicated hepatolithiasis.
出处
《临床军医杂志》
CAS
2010年第3期372-373,共2页
Clinical Journal of Medical Officers
关键词
硬性胆道镜
复杂性肝内胆管结石
外科手术
rigid cholangioscopy
complicated hepatolithiasis
surgical operation
