胆道镜联合输尿管镜气压弹道碎石治疗难取胆管结石的临床应用

Use of ureteroscope pneumatic ballistic lithoripsy combined with choledochoscope in treatment for bile duct stones

目的探讨胆道镜联合输尿管镜气压弹道碎石治疗难取胆管结石的临床效果。方法回顾性分析采用胆道镜联合输尿管镜气压弹道碎石65例患者的临床资料。结果全组手术均成功,取石时间25-70分钟,平均40分钟,结石取尽63例,结石残留2例,术中无胆管出血和胆管壁穿孔等并发症。随访一年,胆管不扩张,未发现肝外胆管残余结石,肝功能检查均正常,所有患者未再出现腹痛、发热、黄疸等症状。结论胆道镜联合输尿管镜气压弹道碎石治疗难取性胆管结石有效、可行。

Objective To summarize the clinical experience of combining choledochoscope and ureteroscope pneumatic ballistic lithotripsy for treating bile duct stones. Methods The clinical data of bile duct stones treated by combining choledochoscope and ureteroscopy pneumatic ballistic lithotripsy were retrospectively analyzed. The clinical efficacy and complications were recorded. Results All operation procedures were successfully completed. The time of calculus removed was 25-70 minutes and 40 minutes on average. Stones were completely removed in 63 cases and stone residues was in 2 cases. No severe injury was found on bile duct wall during operation. No case was found stone recurrence in one year of Follow-up. Conclusion Ureteroscopy pneumatic ballistic lithotripsy is effective instrument in treatment of difficult bile duct stones.