胆道镜联合钬激光经胆囊管治疗肝硬化合并胆总管结石的疗效观察

［摘要］ 〖HTH〗目的〖HTSS〗〖KG*2〗评价胆道镜联合钬激光经胆囊管治疗肝硬化合并胆总管结石的有效性及安全性。 〖HTH〗方法〖HTSS〗〖KG*2〗回顾性分析31例接受胆道镜联合钬激光经胆囊管治疗肝硬化合并胆总管结石患者的结石清除和并发症发生情况。 〖HTH〗结果〖HTSS〗〖KG*2〗30例肝硬化合并胆总管结石经微创完全取出，术后无胆管损伤、出血、胆漏等并发症，随诊 8~12个月，均无结石复发及胆管狭窄。 〖HTH〗结论〖HTSS〗〖KG*2〗胆道镜联合钬激光经胆囊管治疗肝硬化合并胆总管结石直观，安全有效，疗效确切。

Clinical observation of choledochoscopy combined with holmium laser through cystic duct in the treatment of hepatocirrhosis complicated with choledocholithiasis#br#

［Abstract］ Objective〖HTSS〗To study the clincial effectiveness and safety of transcystic choledochoscopy combined with holmium laser for cirrhosis accompanied with choledocholithiasis. 〖HTH〗〖WTHZ〗Methods〖HTSS〗Thirty-one cases of decompensated cirrhosis patients with choledocholithiasis were treated with transcystic choledochoscopy combined with holmium laser respectively. The complete stone clearance rate and complications were compared using retrospective analysis method. 〖HTH〗〖WTHZ〗Results〖HTSS〗The cirrhosis accompanied with choledocholithiasis from 30 cases were completely removed. There were no bile duct injury，bleeding，bile leakage and other complications after operation. After followed up for 8-12 months，there was no recurrence of stones and bile duct stricture. 〖HTH〗〖WTHZ〗Conclusion〖HTSS〗Transcystic choledochoscopy combined with holmium laser in the treatment of liver cirrhosis combined with common bile duct stones is safe, effective and accurate.