胆道镜联合钬激光治疗术后难取性胆总管结石

Holmium Laser Combined with Choledochoscopy for the Treatment of Refractory Bile Duct Stones

目的:探讨胆道镜联合钬激光治疗术后难取性胆总管结石的疗效。方法:对术后难取性胆总管结石14例,在术后3个月及以上,采用胆道镜经T管窦道明确结石,并使用钬激光碎石,使用网囊和注水冲洗清除结石。结果:14例均取石成功,术后无胆道壁损伤及穿孔、出血。结论:使用胆道镜联合钬激光治疗难取性胆总管结石,具有经济、损伤小、恢复快等优点,为难取性胆总管结石提供一种新的治疗手段。

Objective： To discuss curative effect of holmium laser combined with choledochoscopy for the treatment of refractory bile duct stones. Methods： 14 patients with refractory bile duct stones, 3 months or more after surgery, were treated, firstly using choledochoscopy to locate stones through T-tube sinus tract, then breaking up stones with holmium laser lithotrity, and irrigating and removing with saline solution and basket extraction. Results： Stones were removed successfully in all 14 cases without injury of the bile duct wall, bleeding or perforation after the surgery. Conclusion： Holmium laser combined with choledochoscopy for the treatment of refractory bile duct stones was an economical method with slight injury and rapid recovery, and provided a new treatment for refractory bile duct stones.