中国内镜杂志2013，Vol.19Issue(5)：511-515,5.
经皮肝胆道镜碎石在治疗肝胆管结石中的应用
Application of percutaneous transhepatic cholangioscopy lithotripsy for the hepatolithiasis
王平 1陈小伍 1王槐志 2罗康宁1
作者信息
- 1. 南方医科大学附属顺德第一人民医院,广东佛山528300
- 2. 第三军医大学西南医院,重庆400038
- 折叠
摘要
Abstract
[Objective] To study the application value of percutaneous transhepatic cholangioscopy lithotripsy (PTCSL) in the treatment of the hepatolithiasis.[Methods] 43 cases with hepatolithiasis admitted between January 2007 and September 2012 at our institution accepted modified PTCSL.The modified PTCSL that dilated fistula a week later after percutaneous transhepatic biliary drainage (PTBD) inserted a peel-way sheath and used a rigid cholangioscopy assisted to lithotripsy and lithotomy.12 patients accepted one session of modified PTCSL without PTBD.Then the value of modified PTCSL technology was evaluated according to the surgery results and postoperative recovery.[Results] The modified PTCSL results of the 43 cases were better than traditional PTCS obviously.The mean time of surgery was (97.2±10.3) min,and hospital stay mean time was (16.7±4.3) d.The blood lost during operation was (20.4±3.7) mL.The rate of complication was 6.9％ (3/43) and the rate of residue stones was 9.3％(4/43).[Conclusions] It is a safe,effective,and repeatable approach for hepatolithiasis treatment,especially for the multiple biliary operation or recurrent hepatolithiasis.It has the advantages of low residue stones rate,minimally-invasive,and less complication.关键词
肝胆管结石/硬质胆道镜/经皮肝胆道镜碎石Key words
hepatolithiasis/rigid cholangioscopy/PTCSL分类
医药卫生引用本文复制引用
王平,陈小伍,王槐志,罗康宁..经皮肝胆道镜碎石在治疗肝胆管结石中的应用[J].中国内镜杂志,2013,19(5):511-515,5.
