胆道镜技术在肝内胆管结石诊治中的价值及评价

Value and evaluation of choledochoscopy technique in hepatolithiasis

肝内胆管结石的高残石率、高复发率、高再手术率迄今仍是胆道外科的难题,随着胆道镜技术的发展,胆道镜对肝内胆管结石诊治发挥了重要的作用,胆道镜通过T管窦道,经皮经肝以及胆肠吻合术后的经皮经肠襻途径,进入肝内胆管,结合球囊扩张、碎石等措施,取尽肝内胆管结石,弥补了单纯手术治疗的不足,给肝内胆管结石的治疗带来更多的选择。

High residual stone rate, high recurrence rate and high reoperation rate of hepatolithiasis so far is still the problem of biliary surgery. As eholedochoscope technique develops, eholedochoscope play an important role in the diagnosis and treatment of hepatolithiasis. Choledochoscope through T tube sinus, percutaneous transhepatic cholangioscopy, pereutaneous trans-intestinal-loop after cholangioenterostomy into the intrahepatie bile duct combined with the balloon expansion technique and lithotripsy and other measures removes the hepatolithiasis completely, makes up for the deficiencies of surgery alone, and brings more choices for reatment of hepatolithiasis.