胆道镜联合体内微爆破治疗胆道术后残余结石的临床应用.docVIP

精品论文 参考文献 胆道镜联合体内微爆破治疗胆道术后残余结石的临床应用 郭家伟 王雨龙 王宁 　　（绵阳市人民医院肝胆外科 四川 绵阳 621000） 　　【摘要】目的：探讨胆道镜联合体内微爆破在胆道术后残余结石中的应用价值。方法：选择我院自2006年8月～2014年8月收治的胆道术后残余结石患者102例，先经T管窦道送入胆道镜，证实无法以取石网篮将结石取出，后应用体内微爆破碎石仪在胆道镜引导下将残石击碎，再以网篮分次取出或注水冲出。结果：84例一次性清除胆管结石，16例间隔1周后再次予前述治疗后清除残余结石，2例失败。取石成功病例均未发生术后并发症。结论：胆道镜联合体内微爆破治疗胆道术后残余结石，具有创伤小、精准、效率高、安全有效优点，可在有条件的医院进行临床应用和推广。 　　【关键词】胆道镜；体内微爆破；胆道术后；残余结石 　　【中图分类号】R657.4+2 【文献标识码】A 【文章编号】2095-1752（2016）22-0027-02 　　Clinical application of Choledochoscope combined with micro blasting in the treatment of postoperative residual stones 　　Guo Jiawei, Wang Yulong, Wang Ning.Department of HepatobiliarySurgery, The Mianyang Peoplersquo;s Hospital, Sichuan Province,Mianyang621000,China 　　【Abstract】Objective To study the application value of choledochoscope combined with micro blasting in the treatment of postoperative residual stones. Methods 102 cases of patients with Postoperative residual stonesin our hospital from August 2006 to August 2014 were studied.Firstly,sent Choledochoscope into biliary tract through T tube sinus,and to confirm the stones couldnrsquo;t be taken out by stone basket. And then,break the Residual stones by micro blastinginstrumentUnder the guidance of biliary duct,so as to take them out by stone basket or rush then out by water.ResultsThere were 84 cases of patients with one-time removal of bile duct stones,16 cases of patients were cured by the above treatment again after one week,and 2 cases failed. No postoperative complications occurred in successful cases of stone removal. ConclusionIt has the advantages of small trauma, high precision, high efficiency, safe and effective that Choledochoscope combined with micro blasting in the treatment of postoperative residual stones, and it can be used in clinical application and promotion of the hospital. 　　【Key words】Choledochoscope; Vivo micro blasting; Biliary tract surgery; The residual calculi 　　胆道结石是我国的常见病、多发病，其发病率为0.9～10.1%［1］。目前，手术治疗仍是治疗肝胆管结石的主要手段，