经皮经肝胆道镜对原发性肝内胆管结石的疗效评价

Evaluation on effect of percutaneous transhepatic cholangioscopy for primary hepatolithiasis

目的探讨经皮经肝胆道镜(PTCS)治疗肝内胆管结石的临床应用价值。方法回顾性分析70例进行PTCS手术的肝内胆管结石患者,评价患者术后结石清除情况以及在接受PTCS手术后随访评价结石复发情况。结果肝内胆管结石患者的彻底清除60例,术后清除率为85.7%。61例患者的平均随访时间为6年,经影像学检查证实有12例结石复发。结论 PTCS对治疗肝内胆管结石是一种安全、有效、易重复的方法,具有取石快、结石残留率低、术后并发症少、微创等优点。PTCS是原发性胆管结石中具有较大临床应用价值。

Objective To explore the clinical application value of percutaneous transhepatic cholangioscopy（PTCS） in the treatment of hepatolithiasis.Methods A retrospective study was investigated 70 patients undergone initial PTCS for hepatolithiasis.The patients were followed-up for 2 to 14 years after PTCS for effective evaluation of the procedure outcome and long term recurrence.Results Complete clearance of hepatolithiasis was achieved for 60 patients,the clearance rate was 85.7%.61 patients with a mean follow-up period of 6 years.Imaging examination confirmed 12 cases of patients with recurrent stones,49 cases without recurrence patients.Conclusion PTCS is safe,effective,easy to repeat for treating primary hepatolithiasis.PTCS is easy to remove the stones with lower residual stones,fewer complications and it is minimally invasive,therefore,PTCS has a great clinical application value in the treatment of primary hepatolithiasis.