经胆道镜钬激光碎石术治疗困难胆管结石
Choledochoscopic Holmium Laser Lithotripsy for Difficult Bile Duct Stones.
作者信息
Lv Shangdong, Fang Zheping, Wang Aidong, Yang Jian, Zhang Wenlong
机构信息
Department of Hepatobiliary Surgery, Taizhou Hospital affiliated to Wenzhou Medical University , Taizhou, China .
出版信息
J Laparoendosc Adv Surg Tech A. 2017 Jan;27(1):24-27. doi: 10.1089/lap.2016.0289. Epub 2017 Jan 3.
OBJECTIVE
The aim of this study was to evaluate the feasibility and efficacy of choledochoscopic holmium laser lithotripsy as a means of removing resistant extrahepatic and intrahepatic bile duct stones.
METHODS
Clinical data on 28 patients who had undergone choledochoscopic holmium laser lithotripsy were analyzed.
RESULTS
Complete stone clearance was obtained in 24 patients; small numbers of residual stones in the left or right hepatic duct were found in 4 patients. No severe complications such as hemobilia and bile duct injuries occurred.
CONCLUSION
Choledochoscopic holmium laser lithotripsy is a simple, safe, and effective treatment method for patients with resistant bile duct stones.
目的
本研究旨在评估经胆道镜钬激光碎石术作为清除难治性肝外和肝内胆管结石方法的可行性和疗效。
方法
分析28例行经胆道镜钬激光碎石术患者的临床资料。
结果
24例患者结石完全清除；4例患者在左或右肝管发现少量残留结石。未发生严重并发症如胆道出血和胆管损伤。
结论
经胆道镜钬激光碎石术是治疗难治性胆管结石患者的一种简单、安全且有效的治疗方法。
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