CAJ | 학술논문

目的观察十二指肠镜下子母镜联合U-100双频激光治疗难治性胆总管结石的疗效,评估其应用价值.方法对39例结石直径大于2.0 cm以上、嵌顿性、多发结石无法经内镜下逆行胰胆管造影(ERCP)用网篮取出的难治性胆总管结石患者,行十二指肠镜下子母镜联合U-100激光碎石取石.结果全组均成功取石,其中行2次及以上ERCP的患者20例(51.3%).无胆管损伤、出血、穿孔、坏死性胰腺炎等严重并发症发生.结论十二指肠镜下子母镜联合U-100激光碎石对于难治性胆总管结石患者的治疗是安全、有效的,但亦存在手术时间长、操作复杂、手术费用高等局限性.
목적 관찰십이지장경하자모경연합U-100쌍빈격광치료난치성담총관결석적료효,평고기응용개치.방법 대39례결석직경대우2.0 cm이상、감돈성、다발결석무법경내경하역행이담관조영(ERCP)용망람취출적난치성담총관결석환자,행십이지장경하자모경연합U-100격광쇄석취석.결과 전조균성공취석,기중행2차급이상ERCP적환자20례(51.3%).무담관손상、출혈、천공、배사성이선염등엄중병발증발생.결론 십이지장경하자모경연합U-100격광쇄석대우난치성담총관결석환자적치료시안전、유효적,단역존재수술시간장、조작복잡、수술비용고등국한성.
Objective To observe the effect of duodenoscopic mother-baby scopy with U-100 laser on refractory choledocholithiasis to evaluate its application value.Methods Duodenoscopic mother-baby scopy with U-100 laser was used to remove the stones (incarcerated,multiple stones,＜2.0 cm in diameter) in 39 refractory choledocholithiasis patients,which failed to be taken out by endoscopic retrograde cholangiopancreatography (ERCP) and with stone baskets.Results Stones were successful to be removed in all patients,including those with 2 or more ERCPs (51.3%).No such severe complications as bile duct injury,bleeding,perforation,necrotizing pancreatitis occurred.Conclusion Doudenoscopic mother-baby scopy with U-100 laser is safe and effective in treatment of refractory choledocholithiasis,but the operation lasts long,complex to operate with a higher cost,which is its limitation.