中国普通外科杂志2019，Vol.34Issue(8)：679-681,3.DOI:10.3670.cma.j.issn.1007-631X.2019.08.009
一次性经皮经肝胆道硬镜取石与ERCP治疗胆总管结石的临床研究
One stage percutaneous transhepatic rigid choledochoscope lithotomy (PTCSL) vs ERCP plus EST for choledocholithiasis
摘要
Abstract
Objective To investigate the curative effect on patients with choledocholithiasis by percutaneous transhepatic rigid choledochoscope lithotomy (PTCSL) vs endoscopic retrograde cholangiopancreatography (ERCP) plus EST.Methods From Jan 2010 to Dec 2015,92 cases of choledocholithiasis were treated by one-stage PTCSL (n =23) vs ERCP (n =69).The curative effects and postoperative complications in two groups were observed and analyzed.Results In PTCSL group,the complete stone clearance at one-time achieved in all 23 cases (100％).While in ERCP group stone clearance was achieved in 72.46％ cases at first attempt and the final clearance rate was 82.60％,leaving 12 cases with residual stones and among those 12 cases 5 cases were converted to surgical operation.The average intra-operative hemorrhage in two groups was (20.6 ±4.6) ml vs (3.0 ± 0.3) ml,and the average hospital stay after operation was 6.8 d and 7 d respectively.The post-operative complications (30.43％)and stone recurrence (13.04％) were similar in the two groups.Conclusions PTCSL is safe,effective,and more suitable to patients with large stones and those with a history of biliary surgeries.关键词
胆总管结石/胰胆管造影,内窥镜逆行/括约肌切开术,内窥镜Key words
Choledocholithiasis/Cholangiopancreatography, endoscopic retrograde/Sphincterotomy, endoscopic引用本文复制引用
方天翎,刘衍民,刘安重,文辉清,朱灿华,李君..一次性经皮经肝胆道硬镜取石与ERCP治疗胆总管结石的临床研究[J].中国普通外科杂志,2019,34(8):679-681,3.基金项目
广东省科技计划项目(2014A020212515) （2014A020212515）
东莞市社会科技发展(重点)项目(2018507150401634)Guangdong Provincial Science and Technology Program (2014A020212515) （重点）
Dongguan Municipal Key Project of Societal,Scientific and Technological Development(2018507150401634) （2018507150401634）
