胆总管大结石内镜下碎石治疗研究进展

张琪; 董然; 李俊

doi:10.3969/j.issn.1001-5256.2020.09.053

胆总管大结石内镜下碎石治疗研究进展

DOI: 10.3969/j.issn.1001-5256.2020.09.053

昆明医科大学第二附属医院消化内科

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中图分类号: R657.42
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出版历程
- 出版日期: 2020-09-20

Research advances in endoscopic lithotripsy for large common bile duct stones

Department of Gastroenterology, The Second Affiliated Hospital of Kunming Medical University

摘要

摘要:
经内镜逆行胰胆管造影及其衍生技术已成为胆管结石的一线治疗方法。使用内镜下常规取石技术可治疗大部分结石,但对于胆总管大结石的治疗尚需结合内镜下碎石术等方式。总结了内镜下机械碎石术、液电碎石术/激光碎石术、胆管结石体外冲击波碎石术治疗胆总管大结石的研究进展,以期对胆总管大结石临床治疗提供建议和依据。
- 胆总管结石病 /
- 自然腔道内镜手术 /
- 碎石术
Abstract:
Endoscopic retrograde cholangiopancreatography( ERCP) and its derivative technologies have become the first-line treatment methods for bile duct stones. Most stones can be removed by conventional endoscopic techniques,while the treatment of large common bile duct stones requires a combination with endoscopic lithotripsy. This article summarizes the current research advances in endoscopic mechanical lithotripsy,electrohydraulic lithotripsy/laser lithotripsy,extracorporeal shockwave lithotripsy for bile duct stones in the treatment of large common bile duct stones,so as to provide recommendations and bases for the clinical treatment of large common bile duct stones.
- choledocholithiasis /
- natural orifice endoscopic surgery /
- lithotripsy

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参考文献(49)

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