摘要
目的 探讨纤维胆道镜下钬激光治疗胆管残余结石及肝内胆管膜性狭窄的临床效果。方法 经T管逆行胆管造影及纤维胆道镜诊疗后判定为疑难胆管残余结石12例,共有肝内外胆管残余结石29颗,其中3例合并肝内胆管严重膜性狭窄5处,均采用钬激光碎石及膜性狭窄切开矫形术。结果 12例疑难胆管残余结石均于纤维胆道镜下钬激光碎石并取净。5处肝内胆管膜性狭窄切开矫形成功。11例获得随访未见明显的症状及结石复发。结论 胆道镜下钬激光在液体环境中粉碎胆管结石及汽化切开胆管膜性狭窄的方法简便,效果确切,安全可靠。
Objective To explore the clinical effect of cholangioscopic Holmium laser lithotripsy for bile duct refractory residual stone and orthomorphia for intrahepatic bile duct membranous stenosis. Methods The final diagnosis was established by T tube retrograde cholangiography and cholangioscopy in 12 patients with refractory bile duct residual stone. Twenty-nine stones distribute in extrahepatic and intrahepatic bile duct and 5 intrahepatic bile duct membraneous stenosis were found in 3 cases. All patients underwent Holmium laser lithotripsy and orthomorphia. Results The stone clearance rate was 100% in 12 patients after cholangioscopic holmium laser lithotripsy. No serious complication occurred in patients after 5 membranous stenosis orthomorphia. Follow-up observation on 11 patients shows no obvious recurrence of symptom and stones. Conclusion Holmium laser lithotripsy and orthomorphia are safe and effective in the treatment of bile duct refractory residual stone and stenosis.
出处
《中华消化内镜杂志》
2003年第6期383-385,共3页
Chinese Journal of Digestive Endoscopy
