经皮经肝胆道镜技术治疗复杂肝胆管结石的疗效分析

摘要

Objective To evaluate the clinical efficacy of percutaneous transhepatic cholangioscopy (PTCS) in the treatment of complicated hepatolithiasis.Methods The current cohort included 32 cases of complicated hepatolithiasis treated with PTCS between Jan 2010 and Jan 2016 in enrolled in our department.Their clinical data and follow-up data were collected.The clinical efficacy of PTCS was analyzed and its clinical indications were discussed.Results Among the cohort,31 patients were successfully treated,residual stones occurred in one case.One case suffered from biliary leak complicated with fistula sinus and delayed healing.No any serious complications such as bleeding or liver failure occurred among this cohort.During at least 1 years' follow-up,2 cases of stone recurrence occurred.Conclusion PTCS could be a minimally invasive approach extracting complicated hepatolithiasis that would be a novel alternative for patients who could not undergo surgical treatment.%目的 探讨经皮经肝胆道镜技术(PTCS)治疗复杂肝胆管结石的临床价值.方法 纳入在笔者医院行PTCS微创治疗的32例复杂肝胆管结石患者,收集患者临床资料及随访资料,分析PTCS临床疗效,探讨其临床适应证.结果 31例成功取尽结石,1例结石残留;发生胆瘘合并窦道延迟愈合并发症1例,无出血、肝功能衰竭等严重并发症;术后1年随访,结石复发2例.结论 PTCS术可成功实现微创取石并取得良好远期疗效,对于不能实施手术的复杂肝胆管结石患者是一种有效的治疗手段.