中国内镜杂志2012，Vol.18Issue(1)：75-77,3.
经瘘道内镜下胆囊黏膜消除治疗老年高危急性胆囊炎(附8例报告)
Elimination of high-risk elderly patients with acute cholecystitis under the fistula endoscopy via gallbladder mucosa
胡丹 1田明国 2钱益 1严栋梁 1邵伟斌1
作者信息
- 1. 南通大学第二附属医院肝胆外科,江苏南通226001
- 2. 宁夏回族自治区人民医院肝胆外科,宁夏银川750021
- 折叠
摘要
Abstract
[Objective] To investigate the feasibility of gallbladder mucosal ablation by hysteroscopic rollerball electrocoagulation after cholecystostomy. [Methods] Under epidural or general anesthesia combined with local anesthesia, 8 patients were treated with hysteroscopy after cholecystostomy. After inserting a Storz endoscope, the epithelium of the proximal cystic duct and the mucosa of the gallbladder were ablated with the roller-ball and roller-barrel electrodes respectively. The electrocoagulation power was set at 60-70 W with the roller-barrel excursion rate between 10-15 mm/s, which makes the innerwall of the cyst homogenously brown-grey. [Results] The mean endoscopic operation time was 45 minutes (range: 35-55). Among the patients, the gallbladder lumen was completely obliterated within one month in 3 patients, and within 3 months in other 3; 2 patients developed retention cysts. All the patients were cured with no complications, no stone recurrence. [Conclusion] Endoscopic electrocoagulation of the cholecystic mucosa is feasible for obliteration of the gallbladder.关键词
胆囊造瘘术/胆囊黏膜消除术/电切镜Key words
cholecystostomy/gallbladder mucosa ablation/hysteroscopic rollerball electrocoagulation分类
医药卫生引用本文复制引用
胡丹,田明国,钱益,严栋梁,邵伟斌..经瘘道内镜下胆囊黏膜消除治疗老年高危急性胆囊炎(附8例报告)[J].中国内镜杂志,2012,18(1):75-77,3.
