实用医学杂志2016，Vol.32Issue(18)：3034-3037,4.DOI:10.3969/j.issn.1006-5725.2016.18.025
经皮肝穿刺硬质胆道镜治疗复发性肝胆管结石的疗效
Clinical effect of percutaneous transhepaticcholangioscopic lithotomy combined with rigid choledochoscopyin treatment of postoperative recurrent hepatolithiasis
摘要
Abstract
Objective To evaluate the clinical value of percutaneous transhepaticcholangioscopic lithotomy (PTCSL)combined with rigid cholangioscopy in treatment of recurrent hepatolithiasis. Methods Retrospective analysisof therapeutic result of 54 patientswith postoperative recurrent hepatolithiasisduring January 2012 to January 2015. Twenty eight cases were recruited as the observation group (PTCSL group). Twenty six cases were recruited as the control group (Laparotomy group). Following parameters were observed, operation time, intraoperative blood loss, clearance of stones and postoperative hospital stay. Results The operation time, intraoperative blood loss , clearanceof stones , and the postoperative hospital stay of the PTCSL group werebetter than that of the laparotomy group (P<0.05). The number of patients with postoperative pain of the PTCSL group was significantly lower than in the laparotomygroup (P<0.05). There were no significant differences in other complication rates. There was no difference in terms of stone recurrence , incidence of cholangitis and intrahepatic biliary strictures recurrence ratebetween two groups in follow-up period. Conclusions PTCSL combined with rigid choledochoscopywas a safe and effectivemethod with minimal invasion formanagement of the postoperative recurrent hepatolithiasis. It could got a better resultsin the short-term outcomes.关键词
复发肝胆管结石/经皮肝穿刺胆道镜取石/硬质胆道镜Key words
Percutaneous transhepatic cholangioscopic lithotomy/Recurrent hepatolithiasis/Rigid choledochoscopy引用本文复制引用
方兆山,黄海,王平,陶海粟,刘星星..经皮肝穿刺硬质胆道镜治疗复发性肝胆管结石的疗效[J].实用医学杂志,2016,32(18):3034-3037,4.基金项目
广东省自然科学基金项目（编号2014A030310393）；南宁市普通外科腔镜微创中心建设项目 （）
