中国实用外科杂志

中国实用外科杂志

• 专题笔谈 • 上一篇    下一篇

胆道镜技术在肝内胆管结石诊治中的价值及评价

冯秋实，边大鹏   

  1. 北京大学第一医院，北京100034
  • 出版日期:2016-03-01 发布日期:2016-03-01

  • Online:2016-03-01 Published:2016-03-01

摘要：

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。

关键词: 肝内胆管结石, 胆道镜

Abstract:

Value and evaluation of choledochoscopy technique in hepatolithiasis        FENG Qiu-shi，BIAN Da-peng. Peking University First Hospital，Beijing 100034，China
Corresponding author: FENG Qiu-shi， E-mail:fqschina@sina.com
Abstract    High residual stone rate，high recurrence rate and high reoperation rate of hepatolithiasis so far is still the problem of biliary surgery. As choledochoscope technique develops，choledochoscope play an important role in the diagnosis and treatment of hepatolithiasis. Choledochoscope through T tube sinus，percutaneous transhepatic cholangioscopy，percutaneous trans-intestinal-loop after cholangioenterostomy into the intrahepatic 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.

Key words: hepatolithiasis, choledochoscope