CAJ | 학술논문

目的：探讨经皮经肝胆道镜在保胆手术中的应用价值。方法先在B超引导下行经皮经肝胆囊穿刺引流（PTCD）术，2~3天后开始行窦道扩张，每周扩张1~2次，逐渐扩张到16~18F号，然后行经皮经肝胆道镜(PTCS)，取出胆囊结石和胆囊息肉。结果14例胆囊结石病人及5例胆囊息肉病人及3例胆囊结石合并胆囊息肉病人均通过经皮经肝胆道镜治愈。结论对于小于0.5cm的胆囊结石、大于0.5cm的胆囊息肉可以通过经皮经肝胆道镜技术，到达保胆的目的。在临床工作中有比较大的应用价值。
목적：탐토경피경간담도경재보담수술중적응용개치。방법선재B초인도하행경피경간담낭천자인류（PTCD）술，2~3천후개시행두도확장，매주확장1~2차，축점확장도16~18F호，연후행경피경간담도경(PTCS)，취출담낭결석화담낭식육。결과14례담낭결석병인급5례담낭식육병인급3례담낭결석합병담낭식육병인균통과경피경간담도경치유。결론대우소우0.5cm적담낭결석、대우0.5cm적담낭식육가이통과경피경간담도경기술，도체보담적목적。재림상공작중유비교대적응용개치。
Objective To investigate the value of preserving gallbladder operation by percutaneous transhepatic cholangioscope for the treatment of the atients with gallbladder stone. Methods The percutaneous transhepatic gallbladder drainage (PTGBD) was performed by means of guidence of color Doppler ultrasound and then the transdermal sinus of the patients was expanded after 2 to 3 days.The transdermal sinus of the patients was expanded to the diameter of 16-18 Fr once or twice every week.The patients with gallbladder stones or gallbladder polyps were treated by percutaneous transhepatic cholangioscope. Results All patients including 14 with cholecystolithiasis, 5 with gallbladder polyps and 3 with gallbladder stones and gallbladder polyps at the same time were cured under percutaneous transhepatic cholangioscope. Conclusion The application of percutaneous transhepatic cholangioscope could preserve the gallbladder of the patients with gallbladder stones of the diameter of stone less than 0.5 cm or the diameter of polyps more than 0.5 cm.This technique have a great application value in clinical work.