胆道镜联合气压弹道碎石治疗胆道术后难取性残余结石疗效分析

目的:探讨纤维胆道镜联合气压弹道碎石治疗胆道术后难取性残余结石的疗效。方法:对21例胆道探查术后带有T管的难取性残余结石,其中经T管造影显示直径较大结石15例,经胆道镜证实嵌顿结石5例,铸型结石1例,在胆道探查术后6~8周行纤维胆道镜取石,取石术中经胆道镜操作孔置入气压弹道撞针先将结石击碎,再取出结石。结果:1次取净结石18例,3例因肝内胆管结石过多行2次治疗,均取净结石。取石时间40~90 min,均无高热、胆道出血、穿孔等严重并发症。术后3天经T管造影证实无残留结石后拔除T管。结论:对于胆道术后难取性残余结石,行胆道镜联合气压弹道碎石治疗,安全、高效。

The therapeutic effect of fiber choledochoscope combination with pneumatic ballistic lithoclasty on refractory residual bile duct stones

Objective:To evaluate the therapeutic effect of fiber choledochoscope combined with pneumatic ballistic lithoclasty on refractory residual bile duct stones.Methods:Twenty-one cases of patients with refractory residual bile duct stones,in which T-tube was placed post-operation,were treated by fiber choledochoscope combination with atmospheric pressure ballistic lithoclasty,broken stones then become easy removed.Results:All cases of refractory residual bile duct stones,including gigantic,impacted or cast moul...