胆道镜联合冲击波碎石治疗胆道术后难取性结石临床研究

摘要

目的 探讨胆道镜下应用冲击波碎石技术治疗胆道术后难取性结石的疗效与安全性.方法 总结我院胆道镜室2009年1月～2010年6月103例胆道术后难取性结石患者采用胆道镜联合冲击波碎石治疗临床资料.结果 103例总计行胆道镜304次,碎石150次,取净98例,取净率95.1％,结石残留5例,无胆道大出血、胆漏及医源性胰腺炎等严重并发症.结论 胆道镜联合冲击波碎石是治疗胆道术后难取性结石安全、高效、易行的方法.%Objective To evaluate the efficacy and safety of the the treatment of postoperative refractory lithiasis with internal shock-wave lithotripsy under cholidocho-fibroscope. Methods The clinical data of 103 cases with internal shock-wave lithotripsy under cholidocho-fibroecope from January 2009 to June 2010 were summarized. Result In 103 cases, there were 304 times under cholidocho-fibroscope, 105 times for internal shock-wave lithotripsy, 98cases were entirely removed with clearance rate of 93.1% , residual stones were S cases. All cases were no serious complications, such as biliary tract bleeding, bile leakage and iatrogenic pancreatitis. Conclusion Internal shock-wave lithotripsy under Cholidocho-fibroscope for difficult postoperative residual stones is easy, safety and effective method.