| 难取性胆道结石的微创治疗 |
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| 引用本文： | 张昊,高黎黎,李泽信,薛会朝,武兆忠. 难取性胆道结石的微创治疗[J]. 生物磁学, 2011, 0(6): 1149-1151 |
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| 作者姓名： | 张昊 高黎黎 李泽信 薛会朝 武兆忠 |
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| 作者单位： | [1]新乡医学院第一附属医院普外一科,河南卫辉453100 [2]新乡医学院公共卫生学院,河南新乡453003 [3]广州医学院第二附属医院核医学科,广东广州510260 |
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| 基金项目： | 国家自然科学基金面上项目（30470516） |
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| 摘 要： | 目的：探讨胆道难取性结石微创治疗的方法、疗效和安全性。方法：回顾分析2005年12月至2010年11月采用腹腔镜、胆道镜、体内微爆破碎石仪联合治疗难取性胆道结石72例患者的临床资料,观察碎石成功率、结石取净率和并发症发生率。结果：碎石成功率100%,结石取净率97.2%,无胆道大出血、穿孔及胆漏等严重并发症发生。结论：腹腔镜、胆道镜、体内微爆破碎石仪可显著提高胆道难取性结石的治疗效果,安全可靠,为临床治疗胆道结石提供了更多选择。
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| 关 键 词： | 胆道结石 难取性 微创治疗 |
Clinical Study on Minimally Invasive Treatment for Refractory Biliary Lithiasis |
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| ZHANG Hao,GAO Li-li,LI Ze-xin,XUE Hui-chao,WU Zhao-zhong. Clinical Study on Minimally Invasive Treatment for Refractory Biliary Lithiasis[J]. Biomagnetism, 2011, 0(6): 1149-1151 |
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| Authors: | ZHANG Hao GAO Li-li LI Ze-xin XUE Hui-chao WU Zhao-zhong |
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| Affiliation: | 1 Department of General Surgery,Affiliated First Hospital of Xinxiang Medical University,Weihui 453100,China; 2 Department of Public Health,Xinxiang Medical University,Xinxiang 453003,China;3 Laboratory of Medical Imaging,Department of Nuclear Medicine,Affiliated Second Hospital of Guangzhou Medical College,Guangzhou 510260,China) |
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| Abstract: | Objective：To explore the applicability,curative effect and safety of minimally invasive treatment for refractory biliary lithiasis.Methods：The clinical data of 72 cases who were cured by laparoscopy,choledochoscopy and microblasting lithotripsy from October 2005 to November 2010 were retrospectively analyzed.Curative effect,clearance rate and complications were observed.Results：All refractory calculi were crushed into silts or granules 5 mm in diameter,and the clearance rate were 97.2 %.No biliary bleeding,per-foration or leakage occurred in the patients.Conclusions：Laparoscopy,choledochoscopy and microblasting lithotripsy are safe and can improve the curative effect of refractory biliary calculi,which could provide more choices for the clinical treatment. |
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