[1]李德新,李 飛,趙曉晨.膽道鏡聯合鈥激光在膽道術后肝內膽管良性狹窄的應用[J].醫學信息,2019,(22):96-97,102.[doi:10.3969/j.issn.1006-1959.2019.22.029]
 LI De-xin,LI Fei,ZHAO Xiao-chen.Application of Choledochoscopy Combined with Holmium Laser in Benign Stenosis of Intrahepatic Bile Duct after Biliary Tract Operation[J].Medical Information,2019,(22):96-97,102.[doi:10.3969/j.issn.1006-1959.2019.22.029]
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膽道鏡聯合鈥激光在膽道術后肝內膽管良性狹窄的應用()
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醫學信息[ISSN:1006-1959/CN:61-1278/R]

卷:
期數:
2019年22期
頁碼:
96-97,102
欄目:
臨床研究
出版日期:
2019-11-15

文章信息/Info

Title:
Application of Choledochoscopy Combined with Holmium Laser in Benign Stenosis of Intrahepatic Bile Duct after Biliary Tract Operation
文章編號:
1006-1959(2019)22-0096-03
作者:
李德新李 飛趙曉晨
(四川省醫學科學院/四川省人民醫院<東院>肝膽外科,四川 成都 610010)
Author(s):
LI De-xinLI FeiZHAO Xiao-chen
(Sichuan Academy of Medical Sciences/Hepatobiliary Surgery,Sichuan Provincial People's Hospital,Chengdu 610010,Sichuan,China)
關鍵詞:
膽管狹窄膽道鏡鈥激光
Keywords:
Bile duct stenosisCholedochoscopyHolmium laser
分類號:
R575.7
DOI:
10.3969/j.issn.1006-1959.2019.22.029
文獻標志碼:
A
摘要:
目的 探討膽道鏡聯合鈥激光在膽道術后肝內膽管良性狹窄的應用。方法 回顧性分析2017年6月~2018年6月四川省人民醫院收治的78例肝內膽管結石合并膽管良性狹窄患者的臨床資料,均行膽道鏡聯合鈥激光治療,分析其治療效果。結果 共78例肝內膽管結石合并膽管良性狹窄患者,膽道鏡探查148支膽管開口處狹窄,23支膽管狹窄經取石網籃反復擴張改善,125支狹窄膽管開口經鈥激光治療后解除;其中14處狹窄環激光治療過程中出血,經鹽水+腎上腺素局部沖洗,膽道鏡頭端壓迫出血停止,4例出現遲發性膽道出血,給予鈥激光止血及對癥治療,狹窄環解除。結論 膽道鏡聯合鈥激光治療肝內膽管良性狹窄療效確切,安全、可行、創傷小。
Abstract:
Objective To investigate the effect of choledochoscopy combined with holmium laser on benign stenosis of intrahepatic bile duct after biliary tract surgery. Methods The clinical data of 78 patients with intrahepatic bile duct stones complicated with benign biliary stricture admitted to Sichuan Provincial People's Hospital from June 2017 to June 2018 were retrospectively analyzed. All patients underwent choledochoscopy combined with holmium laser treatment. Results A total of 78 patients with intrahepatic bile duct stones complicated with benign biliary stenosis, biliary tract stenosis 148 biliary stenosis, 23 bile duct stenosis were repeatedly expanded by stone basket, and 125 stenotic bile duct openings were relieved by holmium laser treatment; Among them, 14 stenosis of the ring laser treatment, local flushing by saline + adrenaline, biliary end oppression bleeding stopped, 4 cases of delayed biliary bleeding, holmium laser hemostasis and symptomatic treatment, stenosis ring relief. Conclusion Cholangioscopic combined with holmium laser is effective, safe, feasible and less invasive in the treatment of benign intrahepatic bile duct stricture.

參考文獻/References:

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更新日期/Last Update: 2019-11-15
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