| 张昊1 高黎黎2 李泽信1 薛会朝2 武兆忠3.难取性胆道结石的微创治疗[J].,2011,11(6):1149-1151 |
| 难取性胆道结石的微创治疗 |
| Clinical Study on Minimally Invasive Treatment for RefractoryBiliary Lithiasis |
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| DOI： |
| 中文关键词: 胆道结石 难取性 微创治疗 |
| 英文关键词: |
| 基金项目:国家自然科学基金面上项目（30470516） |
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| 摘要点击次数: 747 |
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| 中文摘要: |
| 目的：探讨胆道难取性结石微创治疗的方法、疗效和安全性。方法：回顾分析2005 年12 月至2010 年11 月采用腹腔镜、胆
道镜、体内微爆破碎石仪联合治疗难取性胆道结石72 例患者的临床资料，观察碎石成功率、结石取净率和并发症发生率。结果：
碎石成功率100％，结石取净率97.2％，无胆道大出血、穿孔及胆漏等严重并发症发生。结论：腹腔镜、胆道镜、体内微爆破碎石仪
可显著提高胆道难取性结石的治疗效果，安全可靠，为临床治疗胆道结石提供了更多选择。 |
| 英文摘要: |
| Objective: To explore the applicability, curative effect and safety of minimally invasive treatment for refractory biliary
lithiasis. Methods: The clinical data of 72 cases who were cured by laparoscopy, choledochoscopy and microblasting lithotripsy from
October 2005 to November 2010 were retrospectively analyzed. Curative effect, clearance rate and complications were observed. Results:
All refractory calculi were crushed into silts or granules < 5 mm in diameter, and the clearance rate were 97.2 %. No biliary bleeding, perforation
or leakage occurred in the patients. Conclusions: Laparoscopy, choledochoscopy and microblasting lithotripsy are safe and can
improve the curative effect of refractory biliary calculi,which could provide more choices for the clinical treatment. |
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