摘要
目的探讨纤维胆道镜(简称纤胆镜)在肝移植术后胆管结石治疗中的应用价值。方法对5例肝移植术后出现反复胆系感染、梗阻性黄疸的患者经T管窦道进行纤胆镜治疗,采取等离子碎石技术、网篮取石、异物钳取石。结果在纤胆镜直视下,可以清楚地观察到胆管的愈合及胆管血运情况,同时应用网篮、异物钳及等离子碎石技术可以清除胆管结石。结论纤胆镜可准确地诊断原位肝移植术后胆管结石,T管和纤胆镜对治疗肝移植术后胆管结石具有同样重要的诊治价值。
Objective To discuss the application endoscopic diagnosis and
treatment of biliary stone with choledochofiberscope after orthotopic liver transplantation. Methods Five patients with repeated infection of bile duct and obstructive jaundice were treated with choledochofiberscope through T tube sinus, combining with the plasma shock wave lithotripsy, the eye.winker clam and the basket extraction. Results We could efficiently extract the biliary tract stone through choledochofiberscope combining with plasma shock wave lithotripsy, eyewinker clam and basket extraction; and observe the healing appearance, and blood circulation of the biliary tract. Conclusion The choledochofiberscope can be used to diagnose and treat biliary tract stone of orthotopic liver transplantation. The choledochofiberscope and T tube will be important in diagnosis and treatment of biliary tract stone following orthotopic liver transplantation.
出处
《中国普外基础与临床杂志》
CAS
2005年第5期502-504,共3页
Chinese Journal of Bases and Clinics In General Surgery
基金
大连市优秀青年科学基金课题(编号:2004B3SF165)~~
关键词
原位肝移植
胆管结石
纤维胆道镜
Orthotoplc liver transplantation Biliary tract stone Choledochofiberscope
