输尿管硬镜行肝胆管探查取石术的临床分析

目的:探讨输尿管硬镜治疗肝胆管难取性结石的临床应用。方法:50例肝胆管结石患者通过输尿管硬镜探查,鳄鱼嘴钳取石,气压弹道碎石及灌洗取出结石。其中开腹组15例,腹腔镜组34例,经"T"管窦道取石1例。结果:全组患者术中均顺利取石,术后胆道造影示胆总管残余结石1例,再次通过输尿管硬镜取石成功,无胆道穿孔、出血、感染及其他近期并发症发生,随访1～2年无远期并发症发生。结论:术中联合输尿管硬镜行肝胆管难取性结石探查、碎石、灌洗与取石有助于取净结石,减少残石率,缩短手术时间,并发症少,安全有效。

Clinical analysis of hard ureteroscopic hepatic bile duct exploration and cholelithotomy

Objective:To investigate the clinical application of hard ureteroscopy in treatment of hepatic bile duct calculi that is difficult to remove.Methods:Fifiy patients suffered hepatic bile duct calculi received hard ureteroscopic exploration,alligator removing of calculi,pneumatic lithotripsy and irrigation as treatment.Results:All patients were treated successfully,1 case of residual calculus in common bile duct was found by postoperative cholangiography,which was removed by hard ureteroscopy.No bile duct per...