【摘要】 目的:探讨胆道难取性结石微创治疗的方法、疗效和安全性。方法:回顾分析2005年12月至2010年11月采用腹腔镜、胆道镜、体内微爆破碎石仪联合治疗难取性胆道结石72例患者的临床资料,观察碎石成功率、结石取净率和并发症发生率。结果:碎石成功率100%,结石取净率97.2%,无胆道大出血、穿孔及胆漏等严重并发症发生。结论:腹腔镜、胆道镜、体内微爆破碎石仪可显著提高胆道难取性结石的治疗效果,安全可靠,为临床治疗胆道结石提供了更多选择。更多还原

【Abstract】 Objective:To explore the applicability,curative effect and safety of minimally invasive treatment for refractory biliary lithiasis.Methods:The clinical data of 72 cases who were cured by laparoscopy,choledochoscopy and microblasting lithotripsy from October 2005 to November 2010 were retrospectively analyzed.Curative effect,clearance rate and complications were observed.Results:All refractory calculi were crushed into silts or granules < 5 mm in diameter,and the clearance rate were 97.2 %.No biliary bleeding,per-foration or leakage occurred in the patients.Conclusions:Laparoscopy,choledochoscopy and microblasting lithotripsy are safe and can improve the curative effect of refractory biliary calculi,which could provide more choices for the clinical treatment.更多还原