摘要
目的:分析双镜联合治疗肝外胆管结石取石困难的原因,并探讨取石技巧。方法:回顾分析2009年5月至2012年5月为639例肝外胆管结石患者行纤维胆道镜取石的临床资料,其中83例取石困难,分析取石困难的原因及对策。结果:取石困难的原因有Trocar因素、结石因素、胆道因素;其中Trocar因素8例,结石因素64例,胆道因素11例。4例术中等离子碎石,2例术中行钬激光碎石,余均应用纤维胆道镜成功取出结石。术后随访,无残留结石。结论:双镜联合治疗肝外胆管结石取石困难的原因各不相同,应根据具体原因采用不同的处理方法。
Objective：To analyze the reasons why it is difficult to remove stones in the treatment of extrahepatic bile duct stones with double endoscopes and the corresponding countermeasures. Methods ：The clinical data of 639 patients who underwent lithotomy with biliary tract choledochoscopy for extrahepatic bile duct stone from May 2009 to May 2012 were analyzed retrospectively, of which,83 cases underwent a tough lithotomy surgery, and the reasons and countermeasures were analyzed. Results ：The reasons for the difficulties include ： trocar factor （ 8 cases）, calculus factor （ 64 cases）, biliary factor （ 11 cases）. Of all the patients who underwent a tough surgery,4 patients were converted to intraoperative plasma gravel. 2 patients were resorted to intraoperative holmium laser gravel, the rest were treated with choledochoscope, and all the stones were removed successfully with no residue. Conclusions：The difficulties were caused by different reasons. We should take different methods according to actual situations.
出处
《腹腔镜外科杂志》
2012年第12期928-930,共3页
Journal of Laparoscopic Surgery
