经皮肝取石处理复杂性肝胆管结石体会（附30例报道）*

Experience of PTCSL in treatment of complicated biliary calculi (30 cases)*

摘要:

目的   探讨经皮肝取石处理复杂性肝胆管结石的方法及疗效。方法   回顾性探讨该科30例经皮肝取石处理复杂性肝胆管结石资料。分析患者资料、手术疗效、手术并发症及随访情况。结果   30例经皮肝取石处理均顺利完成，术中术后无大出血及手术死亡病例。其中16例取净结石，术后无明显胆瘘和胆汁性腹膜炎等情况。结论   经皮肝取石处理复杂肝胆管结石安全、可靠，围手术并发症低，在一定范围内值得推广。

Abstract:

Objective To discuss the technique and clinical effects of percutaneous transhepatic cholangioscopic lithotomy (PTCSL) in treatment of complicated biliary calculi. Methods Clinical data of 30 patients that used PTCSL to deal with complicated biliary calculi were retrospectively reviewed. The general data, clinical efficacy, postoperative complications and follow-up surveys were analyzed. Results All the patients were successfully performed PTCSL, there are no massive haemorrhage and death during and after operation. It is net extraction in 16 cases, without biliary leakage and bile peritonitis. Conclusion PTCSL in treatment of complicated biliary calculi is safe, with less perioperative complications. It worth of popularizing and applied clinically.