[1]陈炫廷,陈春雷.钬激光碎石在胆管结石治疗中的研究[J].医学信息,2020,33(09):32-34,43.[doi:10.3969/j.issn.1006-1959.2020.09.011]
 CHEN Xuan-ting,CHEN Chun-lei.Study of Holmium Laser Lithotripsy in the Treatment of Bile Duct Stones[J].Medical Information,2020,33(09):32-34,43.[doi:10.3969/j.issn.1006-1959.2020.09.011]
点击复制

钬激光碎石在胆管结石治疗中的研究()
分享到:

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
33卷
期数:
2020年09期
页码:
32-34,43
栏目:
综述
出版日期:
2020-05-01

文章信息/Info

Title:
Study of Holmium Laser Lithotripsy in the Treatment of Bile Duct Stones
文章编号:
1006-1959(2020)09-0032-04
作者:
陈炫廷陈春雷
(1.广东医科大学,广东 湛江 524000;2.广东医科大学附属第二医院,广东 湛江 524000)
Author(s):
CHEN Xuan-tingCHEN Chun-lei
(1.Guangdong Medical University,Zhanjiang 524000,Guangdong,China;2.The Second Affiliated Hospital of Guangdong Medical University,Zhanjiang 524000,Guangdong,China)
关键词:
钬激光胆管结石腹腔镜
Keywords:
Holmium laserBile duct stonesLaparoscopy
分类号:
R657.4
DOI:
10.3969/j.issn.1006-1959.2020.09.011
文献标志码:
A
摘要:
胆管结石是我国常见的胆道疾病,具有病情复杂、并发症多及术后残石率高等特点,目前主要以手术治疗为主。近年来腹腔镜联合胆道镜手术已普遍应用于胆管结石的治疗中,但对于术中碰到“看得见够不着”及“看得见取不出”的结石,仍属于一个难题。钬激光碎石术可解决各种复杂性、难取性结石,而腹腔镜下胆道镜联合钬激光碎石术具有准确碎石、减少损伤、快速康复、经济实惠等优点,且特别适合在基层医院开展。为此,本文主要从钬激光碎石在胆管结石治疗中的发展历程、原理特点、优势及安全性等方面进行综述,以期为胆管结石患者寻求更合适的手术方式。
Abstract:
Bile duct stones are a common biliary tract disease in China. It has the characteristics of complicated condition, many complications and high postoperative residual stone rate. Currently, it is mainly treated by surgery. In recent years, laparoscopic combined with choledochoscopy has been widely used in the treatment of bile duct stones, but it is still a problem for stones that are invisible during operation. Holmium laser lithotripsy can solve various complex and difficult-to-take stones, and laparoscopic choledochoscope combined with holmium laser lithotripsy has the advantages of accurate lithotripsy, reduced damage, rapid recovery, and economic benefits, and is particularly suitable for the grassroots Hospital development. To this end, this article mainly reviews the development history, principle characteristics, advantages and safety of holmium laser lithotripsy in the treatment of bile duct stones, in order to seek more suitable surgical methods for patients with bile duct stones.

参考文献/References:

[1]盛书娟,郜阳,裴瑞丽.腹腔镜联合胆道镜钬激光碎石治疗肝外胆管结石的临床疗效分析[J].现代诊断与治疗,2019,30(17):3026-3027.[2]Jin P,Jing W,Zhan W,et al.Efficacy and safety of laparoscopic holmium laser lithotripsy in the treatment of complicated biliary calculus[J].Medicine,2019,98(4):e14286.[3]蒋小峰,张大伟,卢海武,等.经皮经肝胆道镜硬镜碎石术治疗肝内胆管结石194 例临床疗效分析[J].中国实用外科杂,2017,37(8):896-899.[4]侯德智,吴韬.肝胆管结石病的外科治疗进展[J].中国医药指南,2013(36):360-362.[5]姚宗浠,居建祥,刘玉林.腹腔镜联合胆道镜钬激光治疗胆总管结石的临床应用[J].腹部外科,2019,32(4):280-283.[6]仝麟龙,张俊杰.腹腔镜下胆道镜联合钬激光碎石术与传统开腹术治疗胆管结石疗效的Meta分析[J].中国医学工程,2019,27(1):10-14.[7]马帅,余海波.钬激光在肝胆外科结石中的应用[J].医药论坛杂志,2019,40(1):174-177.[8]Shokrollahi K,Raymond E,Murison MSC.Lasers:Principles and Surgical Applications[J].The Journal of Surgery,2004,2(1):28-34.[9]Bratcher J,Kasmin F.Choledochoscopy-Assisted Intraductal Shock Wave Lithotripsy[J].Gastrointest Endoscopy Clin N Am,2009(19):587-595.[10]Lv S,Fang Z,Wang A,et al.Choledochoscopic Holmium Laser Lithotripsy for Difficult Bile Duct Stones[J].J Laparoendosc Adv S,2017,27(1):24-27.[11]Erhard MJ,Bagley DH.Urologie Applications of the Holmium Laser Preliminary Experience[J].Jouranl of Endorology,1995,9(5):383-386.[12]宋昕.钬激光在泌尿外科中的应用[J].中国城乡企业卫生,2009(1):46-48.[13]张龙泳,鸦杏鹏.经尿道前列腺钬激光剜除术与经尿道前列腺电切术治疗老年良性前列腺增生症效果对比分析[J].当代医学,2019,25(32):171-172.[14]黄一亮,李超,王继前.经尿道钬激光膀胱肿瘤整块切除术联合化疗治疗肌层浸润性膀胱癌27例[J].中国微创外科杂志,2019,19(11):1036-1038,1056.[15]王伟,杨森.输尿管镜钬激光碎石术在输尿管下段结石治疗中的应用[J].浙江创伤外科,2019,24(5):964-965.[16]Lou J,Hu Q,Ma T,et al.A novel approach with holmium laser ablation for endoscopic management of intrahepatic biliary stricture[J].Bmc Gastroenterol,2019(19):172.[17]Ierardi AM,Fontana F,Petrillo M,et al.Percutaneous transhepatic endoscopic holmium laser lithotripsy for intrahepatic and choledochal biliary stones[J].Int J Surg,2013(11):S36-S39.[18]高绿林.两种术式治疗胆管结石患者的效果比较[J].中国当代医药,2019,26(8):52-54.[19]刘玉海,张俊松.双镜联合钬激光治疗胆总管结石并发症的分析及防治[J].肝胆外科杂志,2019,27(3):207-210.[20]赵守和,常永春,马森,等.腹腔镜钬激光治疗高龄胆石病的体会[J].中华腔镜外科杂志(电子版),2014,7(5):389-392.[21]Ni Z,Jin H,Li X,et al.Combination of Electronic Choledochoscopy and Holmium Laser Lithotripsy for Complicated Biliary Calculus Treatment:A New Exploration[J].Surgical Laparoscopy,Endoscopy&Percutaneous Techniques,2018,28(3):e68-e73.[22]Lv S,Fang Z,Wang A,et al Choledochoscopic Holmium Laser Lithotripsy for Difficult Bile Duct Stones[J].J Laparoendosc Adv S,2017,27(1):24-27.[23]彭成江,张伟,邹文贵,等.开腹胆道镜下钬激光碎石治疗复杂性胆道结石的临床分析[J].云南医药,2018,39(2):131-134.[24]Xia H,Liu Y,Jiang H,et al.A novel laparoscopic transcystic approach using an ultrathin choledochoscope and holmium laser lithotripsy in the management of cholecystocholedocholithiasis:An appraisal of their safety and efficacy[J].The American Journal of Surgery,2018,215(4):631-635.

相似文献/References:

[1]姜波,邓远忠.钬激光治疗良性前列腺增生应用研究[J].医学信息,2018,31(01):58.[doi:10.3969/j.issn.1006-1959.2018.01.021]
 JIANG Bo,DENG Yuan-zhong.Study on the Application of Holmium Laser in the Treatment of Benign Prostatic Hyperplasia[J].Medical Information,2018,31(09):58.[doi:10.3969/j.issn.1006-1959.2018.01.021]
[2]李衍训,孙晋津.胆总管探查在胆管结石中应用的临床分析[J].医学信息,2018,31(15):99.[doi:10.3969/j.issn.1006-1959.2018.15.031]
 LI Yan-xun,SUN Jin-jin.Clinical Analysis of Exploration of the Common Bile Duct in Calculus of Bile Duct[J].Medical Information,2018,31(09):99.[doi:10.3969/j.issn.1006-1959.2018.15.031]
[3]李德新,李 飞,赵晓晨.胆道镜联合钬激光在胆道术后肝内胆管良性狭窄的应用[J].医学信息,2019,32(22):96.[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,2019,32(09):96.[doi:10.3969/j.issn.1006-1959.2019.22.029]
[4]许 鑫.原发性非肌层浸润性膀胱癌的钬激光整块切除与经尿道双极等离子电切术的疗效比较[J].医学信息,2021,34(13):88.[doi:10.3969/j.issn.1006-1959.2021.13.022]
 XU Xin.Comparison of the Efficacy of Holmium Laser Resection and Transurethral Bipolar Plasma Resection for Primary Non-myometrial Invasive Bladder Cancer[J].Medical Information,2021,34(09):88.[doi:10.3969/j.issn.1006-1959.2021.13.022]

更新日期/Last Update: 2020-05-01