摘要
目的探讨双频激光碎石治疗腔镜外科难取性胆管结石的疗效及安全性. 方法 2002年1月～2004年6月,对23例难取性胆管结石进行双频激光碎石治疗.其中腹腔镜胆道探查术中应用14例,术后胆道镜取石中应用9例. 结果 19例取净胆管中结石,结石取净率为82.6%(19/23),无胆管损伤、窦道损伤等并发症. 结论双频激光碎石具有创伤小、效率高、并发症少的优点,对腔镜外科难取性胆管结石是一种可选择的有效方法.
Objective To evaluate the efficacy and safety of double-frequency laser lithotripsy under endoscope in the treatment of refractory biliary stones. Methods A total of 23 patients with refractory biliary stones underwent double-frequency Nd:YAG laser lithotripsy from January 2002 to June 2004. The authors performed the laser lithotripsy during laparoscopic common bile duct exploration in 14 patients and during postoperative choledochoscopy in 9 patients. Results Biliary stones were completely removed in 19 patients, the stone free rate for refractory biliary stones being 82.6% (19/23). No bile duct or T-tube tract injuries occurred. Conclusions Double-frequency laser lithotripsy has the advantages of mini invasion, high efficiency, and low postoperative complication rate. It is an effective alternative for patients with refractory biliary stones during endocopic surgery.
出处
《中国微创外科杂志》
CSCD
2005年第7期556-557,共2页
Chinese Journal of Minimally Invasive Surgery
关键词
双频激光碎石
腔镜外科
难取性胆管结石
Double-frequency laser lithotripsy
Endocopic surgery
Refractory biliary stones
