胆总管结石·内窥镜检查·碎石术_激光_

小切口下超细胆道镜激光碎石术治疗胆总管嵌顿结石的应用

http://www.100md.com 《中国普通现代外科进展》 2006年第3期

胆总管结石·内窥镜检查·碎石术,激光,,胆总管结石·内窥镜检查·碎石术，激光,【摘要】,【关键词】,1资料与方法,2结果,3讨论,参考文献

     【摘要】目的：探讨小切口下超细胆道镜U100激光碎石术治疗胆总管嵌顿结石的应用。方法：观察小切口下胆总管探查术中应用经超细胆道镜U100激光碎石术治疗68例胆总管嵌顿结石患者的临床疗效及并发症。结果：所有手术均获成功，无死亡病例，一次性结石取净67例，结石取净率98.5%，并发症4例。术中胆囊管操作成功29例，胆总管切开后放置T管39例，平均术后住院时间10.5d。结论：该治疗方法治疗胆总管结石嵌顿创伤小，恢复快，碎石充分，安全可行。

    【关键词】胆总管结石·内窥镜检查·碎石术，激光

    100 laser lithotripsy through extrathin choledochoscope under miniincision for refractory choledocholithiasis

    ZHANG Chenggang,ZHANG Shenghua,FENG Shouquan,ZHAO Zhenyu

    Center of Minimally Invasive Surgery,Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of TCM(Shanghai 200437,China)

    【ABSTRACT】Objective:To explore the value of applying the U100 laser lithotripsy through extrathin choledochoscope under miniincision to treat the refractory common bile duct stones.Methods:The curative effect and complications of 68 patients were observed.Results:All of the operations were succeeded whithout cases of death.67 cases’ biliary stones were completely removed,and the stone free rate is 98.52%,only 4 cases have complications.Transcystic bile duct exploration were performed in 29 patients,and CBDE were performed in 39 patients,the average postoperative time of in hospital stay is only 10.5 days.Conclusion:The treatment plan has the advantages of mini invasion,high efficiency and low postoperative complication rate,so it’s safe and practicable. ......

百拇医药网 http://www.100md.com/html/DirDu/2006/07/13/02/81/26.htm

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