[1]朱 亮,姜 霞,李文军,等.胆总管结石介入治疗疗效分析 [J].介入放射学杂志,2019,28(03):258-261.
 ZHU Liang,JIANG Xia,LI Wenjun,et al.Interventional therapy for common bile duct stones: analysis of curative effect[J].journal interventional radiology,2019,28(03):258-261.
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胆总管结石介入治疗疗效分析
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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
28
期数:
2019年03期
页码:
258-261
栏目:
非血管介入
出版日期:
2019-03-25

文章信息/Info

Title:
Interventional therapy for common bile duct stones: analysis of curative effect
作者:
朱 亮 姜 霞 李文军 毛立亭 刘秀峰 王宏学 孙业全
Author(s):
ZHU Liang JIANG Xia LI Wenjun MAO Liting LIU Xiufeng WANG Hongxue SUN Yequan.
Department of Vascular Intervention, Zibo Municipal Fourth People’s Hospital, Zibo, Shandong Province 255067, China
关键词:
【关键词】 胆总管结石 经皮经肝球囊扩张 胆管造影 介入治疗
文献标志码:
A
摘要:
【摘要】 目的 探讨多种介入技术联合治疗胆总管结石的技巧性处理和临床疗效。方法 回顾性分析36例胆总管结石行经皮经肝穿刺肝内胆管多种介入技术联合治疗患者的临床资料。所有患者术前均依据CT或MRI影像检查,选取最佳穿刺路径行胆管造影,再次明确结石位置、数目及大小。依据结石的大小从而选取相应大小的碎石网篮及球囊碎石,球囊扩张十二指肠乳头,用球囊推石入肠,结石取净后常规放置胆道内外引流管2周。结果 35例手术成功,成功率97.2%,32例1次成功取石,3例行2次手术成功取石。术中无严重并发症发生;术后早期并发症:2例高淀粉酶血症,2例胆汁性腹膜炎,3例少量血性胆汁,无胆道穿孔发生。结论 技巧性应用多种介入技术治疗胆总管结石手术成功率高,风险低,并发症少,是一种有效的治疗方法。

参考文献/References:

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相似文献/References:

[1]吕朋华,邓登豪,王立富,等.经皮经肝取石术治疗胆总管结石25例 [J].介入放射学杂志,2017,(05):422.
 LV Penghua,DENG Denghao,WANG Lifu,et al.Percutaneous transhepatic removal of gall- stone technique for the treatment of common bile duct stones: initial experience in 25 patients[J].journal interventional radiology,2017,(03):422.
[2]张 强,尹春辉,李晓光,等.经皮经肝穿刺Fogarty球囊推石治疗胆总管结石[J].介入放射学杂志,2020,29(10):995.
 ZHANG Qiang,YIN Chunhui,LI Xiaoguang,et al.Percutaneous transhepatic papilla balloon dilatation combined with Fogarty balloon pushing technique for the treatment of common bile duct stones[J].journal interventional radiology,2020,29(03):995.

备注/Memo

备注/Memo:
(收稿日期:2018-06-20)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2019-03-20