胆道镜下气压弹道碎石治疗胆道难取性结石的研究

目的　探讨胆道镜下气压弹道碎石治疗胆道难取性结石的疗效与安全。方法　观察 2 0例胆道术后难取性结石的胆道镜下气压弹道碎石治疗的临床效果 ,并进行随访分析。结果　 2 0例胆道术后难取性结石经胆道镜下气压弹道碎石后全部取出 ,其中 1次碎石后胆道镜取出 12例 ,2次碎石后胆道镜取出 5例 ,3次碎石后胆道镜取出 2例 ,4次碎石后胆道镜取出 1例 ,未出现近期并发症 ,18例获得随访 ,无结石复发与气压弹道碎石相关的胆管狭窄出现。结论　胆道镜下气压弹道碎石是治疗胆道难取性结石的一种有效的、安全的方法。

TREATMENT OF REFRACTORY BILE DUCT STONES BY SWISS LITHOCLAST WITH CHOLANGIOSCOPY

Objective To investigate the efficacy and safety of treatm en t of refractory bile duct stones by Swiss LITHOCLAST with cholangioscopy. Methods Clinic and follow-up results were reviewed in 20 patients with refractory bile duct stones who were treated by Swiss LITHOCLAST with chola ngioscopy. Results 20 patients with refractory bile duct ston es who were treated by Swiss LITHOCLAST with cholangioscopy were cured. 12 cases were treated once, 5 cases were treated twice, 2 cases were treated three times and 1 case was treated four times. They were not recent complications. 18 cases were followed up, no associated complications occurred. Conclusion It is a practicable and safe method in treatment of refractory bile duct stones by Swiss LITHOCLAST with cholangioscopy.