摘要
目的总结纤维胆道镜下钬激光碎石术治疗肝内外胆管结石的临床效果。方法本次研究选取50例肝内外胆管结石患者,给予患者应用纤维胆道镜下钬激光碎石术治疗,总结其治疗效果。结果 50例经检查均无结石残留,总结石取净率为90.0%,术中未取净者经术后经腹壁窦道纤维胆道镜钬激光碎仪碎石后成功碎石,术后随访胆管结石复发率为10.0%,经对应治疗后改善,术后出现腹泻5例、少量胆道渗血1例、胆管炎1例,对应处理后治愈。结论纤维胆道镜下钬激光碎石术治疗肝内外胆管结石效果显著,应用安全可靠。
Objective To summarize the fiber choledochoscope holmium laser lithotripsy under clinical effect for the treatment of calculus of bile duct of liver inside and outside. Methods 50 patients with calculus of bile duct of liver inside and outside were chosen, this study gives patients used fiber choledochoscope holmium laser lithotripsy under treatment, summarizes its therapeutic effect. Results 50 cases examined no residual calculi, summed up the stone net rate of 90.0%, intraoperative not take net by postoperative abdominal fistula fiber choledochoscope holmium laser broken rubble after the success of gravel, bile duct calculi recurrence rate was 10.0%, postoperative follow-up after treatment with corresponding improvement, appear diarrhea in 5 cases, a small amount of biliary postoperative bleeding in 1 case, 1 example, cholangitis after corresponding treatment to cure. Conclusion Fiber choledochoscope holmium laser lithotripsy under the treatment of calculus of bile duct of liver inside and outside effect, safe and reliable application.
出处
《中国继续医学教育》
2016年第36期71-73,共3页
China Continuing Medical Education
关键词
纤维胆道镜
钬激光碎石术
肝内外胆管结石
Fiber choledochoscope
Holmium laser lithotripsy
Calculus of bile duct of liver inside and outside
