胆道镜下钬激光联合液电碎石治疗肝内外胆道难治性结石

目的 探讨经胆道镜用钬激光联合液电碎石治疗肝内外胆道结石的安全性及疗效.方法 对67例胆道术后肝内外胆管结石患者接受胆道镜下钬激光联合液电碎石治疗患者的临床资料进行回顾性分析.结果 经1～7次胆道镜下钬激光联合液电碎石治疗,65例患者残石全部取尽,碎石取石成功率达97.1%,未出现并发症.结论 通过钬激光联合液电碎石后再行胆道镜取石,可大大提高肝内外胆管残留结石的清除效果,是一种安全而有效的治疗方法 .

Treatment of refractory intrahepatic and extrahepatic bile duct stones by choledochoscope holmium laser combined with electrohydraulic lithotripsy

Objective:To inverstigate the effect and safety of refractory intrahepatic and extrahepatic bile duct stones treated by choledochoscope holmium laser combined with electrohydraulic lithotripsy.Methods :The cllnical data of 67 cases of postoperative intrahepatic and extrahepatic bile duct stones treated with combined endoscopic holmium laser and electrohydraulic lithotripsy were analysed retrospectively.Results:After 1 to 7 times of biliary endoscopic holmium laser electrohydraulic lithotripsy treatment, 65 patients had complete removal of all residual stones with the success rate of 97%, and without complications.Conclusions:After holmium laser combined with electrohydraulic lithotripsy,the effect of choledochoscopic removal of intrahepatic and extrahepatic bile duct residual stones can be greatly improved It is a safe method for treatment of refractory intra and extra hepatic bile duct stones.