[1]吴成军,张扬,叶冠雄.术中胆道镜钬激光碎石治疗难取性肝内胆管结石[J].中国微创外科杂志,2006,06(4):290-291.
　Wu Chengjun,Zhang Yang,Ye Guanxiong..Intraoperative holm ium laser lithotripsy under cholangioscopic visualization for refractory intrahepatic stones[J].Chinese Journal of Minimally Invasive Surgery,2006,06(4):290-291.
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术中胆道镜钬激光碎石治疗难取性肝内胆管结石()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
06
期数:
2006年4期
页码:
290-291
栏目:
出版日期:
2006-04-20

文章信息/Info

Title:
Intraoperative holm ium laser lithotripsy under cholangioscopic visualization for refractory intrahepatic stones　
作者:
吴成军; 张扬; 叶冠雄
温州医学院附属第六医院,丽水市人民医院普外科,丽水,323000
Author(s):
Wu Chengjun; Zhang Yang;  Ye Guanxiong.
Department of General Surgery, Affiliated Sixth Hospital of Wenzhou Medical College, Lishui 323000, China
关键词:
胆结石; 纤维胆道镜; 钬激光碎石术
Keywords:
Cholelithiasis; 　Choledochofiberscopy; 　Holmium laser; 　Lithotripsy
分类号:
R657.4
文献标志码:
A
摘要:
目的探讨术中经胆道镜结合钬激光治疗肝内难取性结石的方法、安全性及疗效.方法38例难取性肝内胆管结石接受术中经胆道镜钬激光碎石治疗,激光机波长2.1μm,最大平均输出功率100W,脉冲峰值功率6 kW,光导纤维直径400μm.结果38例均一次性完全清除.碎石时间3～5 min,碎石次数3～8次,碎石总数65枚.无胆道损伤、胆漏;术后2个月行胆道造影和B超检查,未发现残留结石.随访半年,无复发.结论钬激光碎石术是目前治疗肝内胆管难取性结石的一种安全、有效的新技术.
Abstract:
Objective　To investigate the techniques, safety, and efficacy of intraoperative holmium laser lithotripsy under cholangioscopic visualization for refractory intrahepatic stones.　M ethods　A total of 38 patients with refractory hepatolithiasis underwent cholangioscopic holmium laser lithotripsy. The laser setting was: the wavelength of 2. 1μm, the maximum mean output power of100W, the pulse peak powerofup to 6 kW, and the laser fiberof400μm in diameter.　Results　The stoneswere entirely removed on one session in all the 38 patients. The lithotripsy timewas 3~5 min, the times of fragmentationwas 3~8, and a total of 65 stones were fragmented. No bile duct injuries or biliary leakage happened. Cholangiography and B-ultrasonography at 2 postoperativemonths found no residual stones. Follow-up for 6 months found no recurrence.　Conclusions　Application of holmium laser lithotripsy under cholangioscopic visualization for themanagement of refractory intrahepatic stones is safe and effective.

参考文献/References:

[1]石景森,王炳煌.肝内胆管结石.见:石景森,主编.外科黄疸疾病诊断治疗学.北京:人民军医出版社,2003.258-265.
[2]冯秋实,张宝善,魏九九,等.疑难肝内结石的胆镜治疗.中华肝胆外科杂志,2000,6(3):168-169.
[3]张景明,冯秋实.纤维胆道镜治疗胆管残余结石的临床应用.中国内镜杂志,2001,7(6):59-60.
[4]竺来法,李建平.钬激光碎石术在胆道结石中的临床应用(附17例报告).中国微创外科杂志,2003,3:61-62.

更新日期/Last Update: 2014-01-27