【摘要】 目的:探讨胆道镜联合钬激光治疗术后难取性胆总管结石的疗效。方法:对术后难取性胆总管结石14例,在术后3个月及以上,采用胆道镜经T管窦道明确结石,并使用钬激光碎石,使用网囊和注水冲洗清除结石。结果:14例均取石成功,术后无胆道壁损伤及穿孔、出血。结论:使用胆道镜联合钬激光治疗难取性胆总管结石,具有经济、损伤小、恢复快等优点,为难取性胆总管结石提供一种新的治疗手段。更多还原

【Abstract】 Objective: To discuss curative effect of holmium laser combined with choledochoscopy for the treatment of refractory bile duct stones. Methods: 14 patients with refractory bile duct stones, 3 months or more after surgery, were treated, firstly using choledochoscopy to locate stones through T-tube sinus tract, then breaking up stones with holmium laser lithotrity, and irrigating and removing with saline solution and basket extraction. Results: Stones were removed successfully in all 14 cases without injury of the bile duct wall, bleeding or perforation after the surgery. Conclusion: Holmium laser combined with choledochoscopy for the treatment of refractory bile duct stones was an economical method with slight injury and rapid recovery, and provided a new treatment for refractory bile duct stones.更多还原