【摘要】 目的探讨对胆道难取性结石实施液电碎石治疗的可行性。方法 2004年6月~2009年12月,采用胆道镜联合液电碎石(STORZ LITHOTRIPS-Y27080型)治疗难取性胆道结石68例,其中开腹胆总管切开取石术中应用26例,胆道术后经T管窦道应用42例。结果本组68例使用碎石仪击打结石216枚,全部击碎成泥沙样或<5mm,碎石成功率为100%(216/216)。结石取净65例,取净率为95.6%(65/68)。结石残留3例。无胆道大出血、穿孔及胆漏等严重并发症发生。65例结石取净者随访3个月~5年,平均28个月,行B超复查均无结石复发。结论胆道镜联合液电碎石治疗胆道难取性结石安全可靠,适于临床推广。更多还原

【Abstract】 Objective To explore the feasibility of electrohydraulic shockwave lithotripsy for refractory biliary lithiasis.Methods Totally 68 patients with refractory biliary lithiasis received electrohydraulic shockwave lithotripsy(Type:STORZ LITHOTRIPS-Y27080)from June 2004 to December 2009 in our hospital.Of the patients,common bile duct incision was made in 26 cases in,and T-tube was used in the other 42.Results A total of 216 calculi were crushed into silts or granules < 5 mm in diameter.The success rate was 100%.In the 68 cases,biliary lithiasis were completely removed in 65 cases(95.6%),the other 3 cases had residual calculi.No biliary bleeding,perforation,or leakage occurred in our patients.The 65 patients who had the calculi removed completely were followed up for 3 months to 5 years with a mean of 28 months,during which B-ultrasonography found no recurrence.Conclusion Cholangioscopy combined with electrohydraulic shockwave lithotripsy is safe and effective for refractory biliary lithiasis.更多还原