【摘要】 目的 总结改良经皮肝胆管取石术（mPTCS）治疗复发性胆总管结石的疗效。方法 116例复发性胆总管结石患者分别接受mPTCS（mPTCS组，n=42）、腹腔镜下胆总管切开探查取石+T管引流组（LCBDE组，n=36）和传统开腹胆总管切开探查取石+T管引流组（OECBD组，n=38）。比较3组围手术期变化、肝功能、并发症等。结果 mPTCS组手术时间、术后排气时间、带管时间明显少于其他2组（P<0.01或0.05），住院时间短于OECBD组（P<0.05）。3组结石取净率、术后并发症比较差异无统计学意义（P>0.05）。结论 mPTCS治疗复发性胆总管结石效果良好，可缩短手术时间、术后排气时间及带管时间。更多还原

【Abstract】 Objective To summarize the clinical efficacy of modified percutaneous transhepatic cholangioscopy（mPTCS）in recurrent choledocholithiasis. Methods A total of 116 patients with recurrent choledocholithiasis were treated with mPTCS（mPTCS group, n=42）, laparoscopic choledochotomy + T-tube drainage（LC group, n=36） or open choledochotomy + T-tube drainage（OC group, n=38）. The perioperative conditions, liver function and complications were compared among three groups. Results The operation, postoperative exhaust and catheter time in mPTCS group were shorter than those in other groups（P<0.01 or 0.05）, while hospital stay was fewer in mPTCS group than in OC group（P<0.05）. There were no significant differences in stone removal rate and postoperative complications among three groups（P>0.05）. Conclusion mPTCS is effective for recurrent choledocholithiasis by reducing operation, postoperative exhaust and catheter time.更多还原