摘要
目的探讨纤维胆道镜联合钬激光碎石治疗胆道结石的临床价值。方法术中或术后应用纤维胆道镜配合钬激光碎石治疗胆道结石16例,观察碎石成功率、结石取净率及并发症。结果本组16例患者中,碎石成功16例(100%),取净结石15例(93.75%),1例有少量结石残留(6.25%);取石1～3次,平均1.5次;并发胆道出血1例(6.25%),腹泻3例(18.75%),均对症治疗痊愈,未发生大出血、胆道穿孔及瘘道断裂等严重并发症,无死亡病例。结论纤维胆道镜下钬激光碎石治疗胆道结石安全可靠、创伤小、结石残留率低。
Objective To investigate the Fiber Choledochoscope combined with Holmium Laser lithotripsy for the treatment ofbiliary calculi value. Methods During the surgery or after surgery, Application Fiber Choledochoscope combined Holmium Laser lithotripsy for the treatment of biliary calculi 16 patients. Results 16 cases were lithotripsy success （100%）, 15 cases were removed all of the calculus （93.75%） ; a small amount of calculi weren＇t removed in 1 case （6.25%）. Removing the calculi for 1~3 times, 1.7 times equal. Complications included hemobilia in 1 case （6.25%）, diarrhoea in 3 cases （18.75%）. Conclusion Fiber Choledochoscope combined Holmium Laser lithotripsy for the treatment of biliary calculi was safe, small ＇trauma and lower Calculi residual rate.
出处
《中国卫生产业》
2013年第15期16-16,18,共2页
China Health Industry
关键词
纤维胆道镜
钬激光
胆道结石
碎石术
Fiber Choledochoscope
Holmium Laser
Biliary calculi
Lithotripsy
