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经皮清除肝内残余结石

Percutaneous removal of residual intrahepatic stones.

作者信息

Park J H, Choi B I, Han M C, Sung K B, Choo I W, Kim C W

出版信息

Radiology. 1987 Jun;163(3):619-23. doi: 10.1148/radiology.163.3.3575704.

DOI:10.1148/radiology.163.3.3575704
PMID:3575704
Abstract

In the Orient there is a high frequency of residual intrahepatic stones after biliary tract surgery. Percutaneous removal of residual intrahepatic stones was attempted in a group of 74 patients. Stones were exclusively intrahepatic in 57 patients, whereas 17 patients also had stones in the common bile duct. Biliary strictures were present in 60 cases (81%). A combination of techniques was used, including preshaped angulated catheters, irrigation-suction, balloon dilation of strictures, and crushing of large stones. In 36 cases all stones were removed and in 14 cases most stones were removed, for a success rate of 67.6%. Biliary stricture was the factor most often responsible for failure.

摘要

在东方,胆道手术后肝内残余结石的发生率很高。对一组74例患者尝试经皮清除肝内残余结石。57例患者结石仅位于肝内,而17例患者胆总管也有结石。60例(81%)存在胆管狭窄。采用了多种技术联合应用,包括预塑形成角导管、冲洗吸引、狭窄球囊扩张以及大结石碎石术。36例患者结石全部清除,14例患者大部分结石被清除,成功率为67.6%。胆管狭窄是最常导致失败的因素。

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1
Percutaneous removal of residual intrahepatic stones.经皮清除肝内残余结石
Radiology. 1987 Jun;163(3):619-23. doi: 10.1148/radiology.163.3.3575704.
2
Percutaneous removal of retained intrahepatic stones with a pre-shaped angulated catheter: review of 96 patients.使用预塑形成角导管经皮清除肝内残留结石:96例患者的回顾
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Endoscopic or laparoscopic approach for hepatolithiasis in the era of endoscopy in China.中国内镜时代肝内胆管结石的内镜或腹腔镜治疗方法
Surg Endosc. 2015 Jan;29(1):154-62. doi: 10.1007/s00464-014-3669-5. Epub 2014 Jul 16.
2
Percutaneous treatment of extrahepatic bile duct stones assisted by balloon sphincteroplasty and occlusion balloon.球囊括约肌成形术和闭塞球囊辅助下经皮治疗肝外胆管结石
Korean J Radiol. 2005 Oct-Dec;6(4):235-40. doi: 10.3348/kjr.2005.6.4.235.
3
Limitations of percutaneous transhepatic cholangioscopy in the removal of complicated biliary calculi.
经皮经肝胆道镜取石术在清除复杂胆管结石方面的局限性。
World J Surg. 1989 Sep-Oct;13(5):603-10. doi: 10.1007/BF01658880.
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Dilatation of intrahepatic biliary strictures in patients with hepatolithiasis.肝内胆管结石患者肝内胆管狭窄的扩张
World J Surg. 1990 Sep-Oct;14(5):587-92; discussion 592-3. doi: 10.1007/BF01658796.
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Percutaneous removal of biliary stones.
Cardiovasc Intervent Radiol. 1990 Aug-Sep;13(4):245-51. doi: 10.1007/BF02578026.
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Balloon dilatation of intrahepatic biliary strictures for percutaneous extraction of residual intrahepatic stones.
Cardiovasc Intervent Radiol. 1991 Mar-Apr;14(2):102-5. doi: 10.1007/BF02577704.