摘要
目的:研究经皮胆镜碎石术(PCLC)治疗胆囊结石的疗效。方法:1990年11月—1993年5月作者采用PCLC治疗胆囊结石症552例。采用X光片胆囊目测定位法寻找胆囊,切开皮肤将胆囊牵至切口处后即行经皮胆镜碎石取石治疗胆囊结石。结果:对552例胆囊结石患者行经皮胆镜碎石术成功538例,碎石成功率97.5％,14例改行胆囊切除术。有3例发生胆汁性腹膜炎,3例出现急性胆囊感染,其中1例行胆囊切除术证实有结石残留。对184例患者作18—30个月的随访,结石残留7例,占3.8％,结石复发14例,占7.6％。结论:经皮胆镜碎石术是治疗结石的有效方法,创伤小,能保留胆囊,但应注意提高结石清除率,并预防结石复发。
AIM To investigate the efficacy of percutaneous cholecy-stolithocenosis(PCLC)in patients with cholelithiasis.METHODS From November 1990 to May 1993,PCLC was performed in 552 cases of gallstones.The gallbladder was looked forthrough X-ray cholecystogram and its location was detected.Percutaneous cholecystolithocenosis was performed in gallstones afterpatients skin was cut and the gallbladder was extracted from the wound.RESULTS PCLC succeeded in 538 cases of gallstones among 552 cases.The success rate of PCLC was 97.5%.There were 14patients unsuccfal and then cholecystectomy has to be performed.There patients had suppurative biliary pertonitis,and another threehad acute cholecystitis,one of them still had stones in the gall found from cholecystectomy.184 patients were followed ~ up foreighteen to thirty months.There were still gallstones in the galls 3.8% patients.Ifgrirteen patients had gallstones relapse(7.696)CONCLUSIONS PCLC is useful in the treatment of gallstones patients.The advantages of this operation are less painful,minorwound,and keep a gallbladder for patient.But we must pay attention to clear up the stones thoroughly and prevent relapse.
