经皮经肝胆管引流术联合经皮经肝胆道镜治疗肝内外胆管结石的效果分析

目的探讨经皮经肝途径治疗肝内外胆管结石的可行性及疗效。方法选取2000年1月-2014年10月在河南省第三人民医院治疗的胆管结石患者19例,通过经皮经肝途径,配合应用胆道镜和碎石仪器,治疗胆管结石。结果 19例患者中12例1次成功取石,5例3次经肝脏窦道完全取石,2例肝内三级胆管结石残留,取石成功率89.47%（17/19）。结论经皮经肝途径治疗胆管结石,创伤轻微,痛苦小,可根据病情需要选择性应用。...

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Published in临床肝胆病杂志 Vol. 31; no. 10; pp. 1685 - 1687
Main Author 程相超 袁启东 赵建红 刘斌
Format Journal Article
LanguageChinese
Published 河南省第三人民医院普外科,郑州,450006%昆明医学院第一附属医院肝胆胰外科,昆明,650003 2015
Subjects
引流术
胆管,肝内
胆管,肝外
胆结石
胆管,肝外
引流术
胆管,肝内
胆结石
bile ducts,intrahepatic
cholecithiasis
drainage
bile ducts,extrahepatic
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ISSN1001-5256
DOI10.3969/j.issn.1001-5256.2015.10.031

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Summary:目的探讨经皮经肝途径治疗肝内外胆管结石的可行性及疗效。方法选取2000年1月-2014年10月在河南省第三人民医院治疗的胆管结石患者19例,通过经皮经肝途径,配合应用胆道镜和碎石仪器,治疗胆管结石。结果 19例患者中12例1次成功取石,5例3次经肝脏窦道完全取石,2例肝内三级胆管结石残留,取石成功率89.47%（17/19）。结论经皮经肝途径治疗胆管结石,创伤轻微,痛苦小,可根据病情需要选择性应用。
Bibliography:CHENG Xiangchao , YUAN Qidong , ZHAO Jianhong （ Department of General Surgery, The Third People＇s Hospital of Henan Province, Zhengzhou 450006, China）
Objective To explore the feasibility and efficacy of percutaneous transhepatic approach in the treatment of intrahepatic and extrahepatic bile duct stones. Methods Nineteen patients with bile duct stones who were treated in our hospital from January 2000 to October2014 were enrolled as subjects. In the treatment of bile duct stones,all patients received percutaneous transhepatic approach combined with the application of cholangioscopy and lithotripsy equipment. Results In the 19 patients,12 had the stones successfully removed in a single session,5 had the stones completely removed through the liver sinus in three sessions,and 2 had residual stones in intrahepatic tertiary bile ducts. The success rate of lithotomy reached 89. 47%（ 17 /19）. Conclusion The percutaneous transhepatic approach achieves minor surgical invasion and slight pain in the treatment of bile d
ISSN:1001-5256
DOI:10.3969/j.issn.1001-5256.2015.10.031