摘要
目的：为了探讨较复杂的肝内胆管结石的治疗方法。方法：根据肝内胆管的解剖和肝内胆管结石的分布特点，我们研制了一种新型肝内胆管取石钳，并对６２例肝内胆管难以取出的结石和／或合并肝内胆管狭窄的病例，应用该取石钳在纤维胆道镜直视下进行钳、咬取石，钳头还可扩张部分狭窄胆管。结果：该方法不仅取石方便，而且效果满意，本组５６例结石取净，结石取净率为９０％（５６／６２），５例大部分结石取出，取石成功率９８％，术后残石率９．７％（６／６２）。无死亡病例，无医源性胆管损伤和胆道出血等并发症。结论：应用该取石钳在纤维胆道镜直视下取石是复杂性肝内胆管结石的一种有效治疗方法。
Objective: To study the management of complex intrahepatic binary calculi. Methods: According to the anatomic characteristic of intrahepatic bile duct and distribution of intrahepatic binary calculi, we invented a new type of lithotripic forceps. 62 cases of intrahepatic binary calculi which were hard to take out or accompanied with binary stricture were treated with the forceps in cholangioscopy under direct vision. The calculi were griped and bitten and then taken out. Results: The forceps were convenient to use, and the effect was satisfying. The calculi were taken out completely in 56 cases and mostly in 5 cases. The effective rate was 98 %, and the calacli residue rate was 9. 7 % (6/62). No patient died, no bile duct injury or hemorrage happened. Conclusion: Application of lithotripic forceps in cholangioscopy under direct vision is an effective mothod for the complex intrahepatic calculi.
出处
《中国临床医学》
2000年第3期285-286,共2页
Chinese Journal of Clinical Medicine
关键词
肝内胆管结石
取石钳
纤维胆道镜
Intrahepatic binary caculi Lithotripic forceps Cholangioscopy
