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术中术后联合胆道镜液电碎石术治疗肝内胆管结石疗效观察
引用本文:区奕猛,罗永平,余炯标,连福臻,唐亨力,言纲. 术中术后联合胆道镜液电碎石术治疗肝内胆管结石疗效观察[J]. 国际医药卫生导报, 2010, 16(5): 551-553. DOI: 10.3760/cma.j.issn.1007-1245.2010.05.015
作者姓名:区奕猛  罗永平  余炯标  连福臻  唐亨力  言纲
作者单位:广东药学院附属第一医院肝胆外科,广州,510080;广东药学院附属第一医院肝胆外科,广州,510080;广东药学院附属第一医院肝胆外科,广州,510080;广东药学院附属第一医院肝胆外科,广州,510080;广东药学院附属第一医院肝胆外科,广州,510080;广东药学院附属第一医院肝胆外科,广州,510080
摘    要:目的探讨术中术后联合胆道镜液电碎石治疗肝内胆管结石方法和疗效。方法对35例肝内胆管结石患者施行胆总管切开取石,左肝外叶切除为主,配合术中、术后胆道镜下液电跨石观察其效果。结果全组术后残石率2.86%,无手术死亡。结论对肝内胆管结石实施术中术后联合胆道镜液电碎石的个体化手术治疗方案,是治疗肝内胆管结石、降低术后残石率的有效方法。

关 键 词:纤维胆道镜  液电碎石  肝内胆道  胆道结石

Intraoperative and postoperative cholangioscopy combinated with electrohydraulic lithotripsy in the treatment of intrahepatic bile duct stones
OU Yi-meng,LUO Yong-ping,YU Jiong-biao,LIAN Fu-zhen,TANG Heng-li,YAN Gang. Intraoperative and postoperative cholangioscopy combinated with electrohydraulic lithotripsy in the treatment of intrahepatic bile duct stones[J]. International Medicine & Health Guidance News, 2010, 16(5): 551-553. DOI: 10.3760/cma.j.issn.1007-1245.2010.05.015
Authors:OU Yi-meng  LUO Yong-ping  YU Jiong-biao  LIAN Fu-zhen  TANG Heng-li  YAN Gang
Affiliation:.(Department of hepatobiliary surgery, the first affiliated hospital of Guangdong university of pharmacy, Guangzhou 510080, China )
Abstract:Objective To explore the method and efficacy of intraoperative and postoperative cholangioscopy combinated with electrohydraulic lithotripsy in the treatment of intrahepatic bile duct stones. Method Thirty-five patients with intrahepatic bile duct stones underwent choledocholithotomy, which mainly cut off the left lateral lobectomy of the liver and coordinated with intraoperative and postoperative biliary endoscopic electrohydraulic lithotripsy. Result The residual stone rate of whole group is 2.86%, and no operative mortality. Conclusion The individualized therapeutic regimen which intraoperative and postoperative cholangioscopy combinated with electrohydraulic lithotripsy in treating patients with intrahepatic bile duct stones is an effective method for treating intrahepatic bile duct stones and reducing the rate of postopera-tive residual stones.
Keywords:Fiber cholangioscopy  Electrohydraulic lithotripsy  Intrahepatic bile duct  Biliary stone
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