胆道镜联合体内微爆破胆道碎石仪治疗胆道残留结石

Choledochofiberscopy and shockwave lithotripsy in the treatment of residual biliary stones

目的 探讨胆道镜联合体内微爆破胆道碎石仪在治疗胆道术后较大残留结石中的作用、疗效和安全性。方法 回顾性分析119例胆道术后残留结石应用胆道镜联合体内微爆破碎石器碎石的临床资料。结果 119例胆道术后残留结石经微爆破碎石和胆道镜取石术下全部完成碎石取石。结论 对于较大的胆道残留结石、嵌顿结石和胆道取石篮套取困难的结石，利用微爆破将结石击碎，再用胆道镜套取出是安全有效的方法。

Objective To investigate the efficacy and safety of choledochofiberscopy and shockwave lithotripsy in the treatment of residual biliary stones after biliary surgery. Method 119 patients with postoperative residual bile duct stones who were treated with choledochofiberscopy and shockwave lithotripsy were retrospectively analyzed. Results In all these patients, residual stones were cleared by using choledochofiberscopy and shockwave lithotripsy. Conclusions It is difficult for choledochofiberscopy to remove large or incarcerated residual bile duct stones. In these cases, using choledochofiberscopy and shockwave lithotripsy is a safe and efficacious way.