[1]陈 亚,潘澄一,杨素青.经皮经肝胆道镜碎石取石术的应用现状[J].医学信息,2020,33(09):47-49.[doi:10.3969/j.issn.1006-1959.2020.09.015]
 CHEN Ya,PAN Cheng-yi,YANG Su-qing.Application Status of Percutaneous Transhepatic Choledochoscope Lithotripsy[J].Medical Information,2020,33(09):47-49.[doi:10.3969/j.issn.1006-1959.2020.09.015]
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经皮经肝胆道镜碎石取石术的应用现状()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
33卷
期数:
2020年09期
页码:
47-49
栏目:
综述
出版日期:
2020-05-01

文章信息/Info

Title:
Application Status of Percutaneous Transhepatic Choledochoscope Lithotripsy
文章编号:
1006-1959(2020)09-0047-03
作者:
陈 亚潘澄一杨素青
(台州市中心医院/台州学院附属医院外科,浙江 台州 317511)
Author(s):
CHEN YaPAN Cheng-yiYANG Su-qing
(Taizhou Central Hospital/Department of Surgery,Taizhou University Affiliated Hospital,Taizhou 317511,Zhejiang,China)
关键词:
胆道结石微创经皮肝胆道镜
Keywords:
Biliary calculiMinimally invasivePercutaneous hepatobiliary endoscopic
分类号:
R657.42
DOI:
10.3969/j.issn.1006-1959.2020.09.015
文献标志码:
A
摘要:
肝胆管结石是胆道系统常见疾病,结石容易导致胆道梗阻,从而引起胆道炎症,而反复的胆道炎症可能导致胆道肿瘤的发生,严重影响患者生活质量及生命安全,因此早期诊断、及时治疗具有重要意义。目前肝胆管结石的治疗仍以手术治疗为主,随着经皮经肝胆道穿刺术(PTCD)及介入技术的进一步成熟,经皮经肝胆道镜碎石取石术(PTCSL)被广泛应用于临床并逐渐成为临床治疗胆道结石的重要手段。本文就PTCSL的发展历史、技术方式、实施的关注点、有效性、安全性及其介导的复杂性胆道结石的综合治疗作一综述,以期为临床治疗提供参考。
Abstract:
Hepatobiliary stones are a common disease of the biliary system. Stones can easily lead to obstruction of the biliary tract and cause inflammation of the biliary tract. Repeated inflammation of the biliary tract may lead to the occurrence of biliary tract tumors, which seriously affects the quality of life and safety of patients. Therefore, early diagnosis and timely treatment are of great significance. At present, the treatment of hepatobiliary calculi is still dominated by surgical treatment. With the further maturation of percutaneous transhepatic biliary puncture (PTCD) and interventional techniques, percutaneous transhepatic cholangioscopic lithotripsy (PTCSL) is widely used in clinical And gradually become an important means of clinical treatment of biliary stones. This article reviews the development history, technical methods, implementation concerns, effectiveness, safety, and the comprehensive treatment of complex biliary calculi mediated by PTCSL, with a view to providing reference for clinical treatment.

参考文献/References:

[1]Li FY,Cheng NS,Mao H,et al.Significance of controlling chronic proliferative cholangitis in the treatment of hepatolithiasis[J].World J Surg,2009,33(10):2155-2160.[2]韩志敏,盛银行,张风奎.经皮肝胆道镜术两种不同路径治疗复杂肝内外胆管结石的临床疗效比较[J].肝胆外科杂志,2016,24(6):422-425.[3]李健宁,詹锦遂.经皮肝胆道镜下不同造瘘取石方法治疗复杂肝内外胆管结石效果观察[J].包头医学院学报,2019,35(8):28-30.[4]曹峻荣.经皮经肝穿刺同期胆道镜取石应用于复发性肝胆管结石治疗的临床分析[J].实用心脑肺血管病杂志,2018,12(26):84-86.[5]刘袁君,朱宇,王春华,等.电子胆道镜联合体内冲击波碎石治疗肝胆管残留结石的体会[J].中国微创外科杂志,2017,17(9):856-858.[6]Wang P,Sun B,Huang B,et al.Comparison between percutaneous transhepatic rigid cholangioscopic lithotripsy and conventional percutaneous transhepatic cholangioscopic surgery for hepatolithiasis treatment[J].Surg Laparosc Endosc Percutan Tech,2016,26(1):54-59.[7]Miyoshi H,Inui K,Yoshino J.Technique of common bile duct and intrahepatic stone treatment with percutaneous transhepatic cholangioscopy[J].Gastroenterol Endosc,2011,53(7):1818-1827.[8]Wang P,Tao H,Sun B,et al.A new technique of percutaneous transhepatic rigid cholangioscopic lithotripsy applied in the treatment complicated hepatolithiasis[J].J Hepato Gastroenterol,2018,2(1):1-9.[9]罗晓峰,黄子荣,王振龙,等.经皮经肝胆道镜取石术在胆总管结石合并急性胆管炎治疗中的价值[J].中华肝脏外科手术学电子杂,2019,8(5):448-452.[10]Chen S,Huang L,Qiu FN,et al.Total laparoscopic partial hepatectomy versus open partial hepatectomy for primary left-sided hepatolithiasis:A propensity,long-term follow-up analysis at a single center[J].Surgery,2018,163(4):714-720.[11]彭观景,李称才,陈博艺,等.硬质胆道镜经瘘道治疗胆管结石[J].中华肝胆外科杂志,2017,23(2):100-103. [12]Ogura T,Higuchi K.A review of treatment options for bile duct stones[J].Expert Rev Gastroenterol Hepatol,2016,10(11):1271-1278.[13]Aburajab M,Dua K.Endoscopic Management of Difficult Bile Duct Stones[J].Curr Gastroenterol Rep,2018,20(2):8.[14]李清军,汤晓强,杨文亮.经皮经肝胆道镜对原发性肝内胆管结石的疗效评价[J].肝胆胰外科杂志,2015,27(4):292-294.[15]徐恕,张剑权,符国珍,等.经皮肝穿刺胆管造瘘电子胆道镜取石术治疗肝内胆管结石的近远期疗效[J].中华普通外科杂志,2016,31(3):212-214.[16]中华医学会数字医学分会,中国研究型医院学会数字医学临床外科专业委员会.肝胆管结石三维可视化精准诊治专家共识[J].中国实用外科杂志,2017,37(1):60-66.[17]Tsutsumi K,Kato H,Yabe S,et al.A comparative evaluation of treatment methods for bile duct stones after hepaticojejunostomy between percutaneous transhepatic cholangioscopy and peroral, short double-balloon enteroscopy[J].Therap Adv Gastroenterol,2017,10(1):54-67.[18]何涛,罗晓峰,王振龙,等.对比经皮经肝硬质胆镜一期和二期治疗复发性肝胆管结石的价值[J].中国处方药,2018,16(6):12-13.[19]Queen T,Parasher G.Endoscopic Management of Large and Difficult Common Bile duct Stones[M].Advanced Pancreaticobiliary Endoscopy.Springer International Publishing,2016.[20]Alabraba E,Travis S,Beckingham I.Percutaneous transhepatic cholangioscopy and lithotripsy in treating difficult biliary ductal stones:Two case reports[J].World J Gastrointest Endosc,2019,11(4):298-307.[21]周长升,芶欣,苏正,等.腹腔镜与开腹胆总管切开取石加T管引流术治疗肝内外胆管结石的疗效比较[J].中华普通外科杂志,2018(3):228-231.

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更新日期/Last Update: 2020-05-01