期刊文献+

经皮经肝胆道镜对原发性肝内胆管结石的疗效评价 被引量:27

Evaluation on effect of percutaneous transhepatic cholangioscopy for primary hepatolithiasis
下载PDF
导出
摘要 目的探讨经皮经肝胆道镜(PTCS)治疗肝内胆管结石的临床应用价值。方法回顾性分析70例进行PTCS手术的肝内胆管结石患者,评价患者术后结石清除情况以及在接受PTCS手术后随访评价结石复发情况。结果肝内胆管结石患者的彻底清除60例,术后清除率为85.7%。61例患者的平均随访时间为6年,经影像学检查证实有12例结石复发。结论 PTCS对治疗肝内胆管结石是一种安全、有效、易重复的方法,具有取石快、结石残留率低、术后并发症少、微创等优点。PTCS是原发性胆管结石中具有较大临床应用价值。 Objective To explore the clinical application value of percutaneous transhepatic cholangioscopy(PTCS) in the treatment of hepatolithiasis.Methods A retrospective study was investigated 70 patients undergone initial PTCS for hepatolithiasis.The patients were followed-up for 2 to 14 years after PTCS for effective evaluation of the procedure outcome and long term recurrence.Results Complete clearance of hepatolithiasis was achieved for 60 patients,the clearance rate was 85.7%.61 patients with a mean follow-up period of 6 years.Imaging examination confirmed 12 cases of patients with recurrent stones,49 cases without recurrence patients.Conclusion PTCS is safe,effective,easy to repeat for treating primary hepatolithiasis.PTCS is easy to remove the stones with lower residual stones,fewer complications and it is minimally invasive,therefore,PTCS has a great clinical application value in the treatment of primary hepatolithiasis.
出处 《肝胆胰外科杂志》 CAS 2015年第4期292-294,共3页 Journal of Hepatopancreatobiliary Surgery
关键词 经皮肝穿刺胆道镜取石术 肝内胆管结石 超声 percutaneous transhepatic cholangioscopy(PTCS) hepatolithiasis ultrasound
  • 相关文献

参考文献4

二级参考文献25

  • 1吴忠,丁强,姜昊文,郑景存,杨醌,张元芳.钬激光碎石治疗输尿管结石238例[J].中国微创外科杂志,2005,5(6):437-438. 被引量:26
  • 2吴成军,张扬,叶冠雄.术中胆道镜钬激光碎石治疗难取性肝内胆管结石[J].中国微创外科杂志,2006,6(4):290-291. 被引量:23
  • 3Miauno T, Masaoka A. Intramural giant gallstone: report of a rare case [J]. Am J Gastroenterol, 1987, 82(5): 454-456.
  • 4Hsu JM, Pham TN. Damage control in the injured patient [J]. Int J Crit Illn Inj Sci, 2011, 1(1): 66-72.
  • 5杨玉龙.胆道镜下高频电(套)切技术在胆道内镜外科中应用[J].中国内镜杂志,2010,16(增刊):261-264.
  • 6Bergmann JJ,Vander MS,Raues EA,et al. Long-term follow up after endoscopic sphincterotomy for bileduct stones inpatients younger than 60 years of age [ J ]. Gastrointest Endosc ,2011,44 (52) :643 - 645.
  • 7Grepco M. Prevalence of gallstone disease in an Italian adult female population [ J ]. Am J Epidemio1,2008,119 (78) :796 - 805.
  • 8Eypasch E,.Williams JI, Wood -Dauphinee S, et al. Gastrointestinal Quality of Life Index:development, alidation and application of a new instrument[J]. Br J Surg,2011,82(2) :216 -222.
  • 9Maurer KR, Everhart JE, Knowler WC, et al. Risk factors for gall- stone disease in the Hispanic populations of the United States [J]. Am J Epidemio1,2012,131 ( 81 ) : 836 - 844.
  • 10Tae Hyeon Kim,Hyo Jeong Oh,Chang-Soo Choi,Dong Han Yeom,Suck Chei Choi.Clinical usefulness of transpapillary removal of common bile duct stones by frequency doubled double pulse Nd:YAG laser[J].World Journal of Gastroenterology,2008,14(18):2863-2866. 被引量:20

共引文献46

同被引文献199

引证文献27

二级引证文献162

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部