中文English
ISSN 1001-5256 (Print)
ISSN 2097-3497 (Online)
CN 22-1108/R

留言板

尊敬的读者、作者、审稿人, 关于本刊的投稿、审稿、编辑和出版的任何问题, 您可以本页添加留言。我们将尽快给您答复。谢谢您的支持!

姓名
邮箱
手机号码
标题
留言内容
验证码
引用本文:
Citation:

中国胆道结石双频双脉冲激光碎石专家建议

DOI: 10.3969/j.issn.1001-5256.2021.06.014
利益冲突声明:所有作者均声明不存在利益冲突。
详细信息

    通信作者:李兆申,zhaoshen-li@hotmail.com; 金震东,zhendjin@126.com

  • 中图分类号: R657.42

  • 摘要: 胆道结石是消化系统常见疾病,目前主要治疗手段有外科手术、内镜下介入治疗等,但部分困难结石临床上仍面临挑战。双频双脉冲激光碎石术因其安全、高效等特点,是解决困难结石的有效方法。双频双脉冲掺钕钇铝石榴石激光是目前被国家药品监督管理局批准的可用于胆道结石碎石的激光技术,但其适应证、导入方式和操作规范等问题尚未形成共识。为此,国家消化系统疾病临床医学研究中心(上海)、中国医师协会内镜医师分会和中华医学会消化内镜学分会特邀国内消化、内镜与外科等相关领域专家,在参考国内外文献的基础上,经过充分讨论形成本专家建议,以期为国内规范开展胆道结石激光碎石提供指导和参考。

     

  • [1] LAMMERT F, GURUSAMY K, KO CW, et al. Gallstones[J]. Nat Rev Dis Primers, 2016, 2: 16024. DOI: 10.1038/nrdp.2016.24.
    [2] WILLIAMS E, BECKINGHAM I, EL SAYED G, et al. Updated guideline on the management of common bile duct stones (CBDS)[J]. Gut, 2017, 66(5): 765-782. DOI: 10.1136/gutjnl-2016-312317.
    [3] TRIKUDANATHAN G, ARAIN MA, ATTAM R, et al. Advances in the endoscopic management of common bile duct stones[J]. Nat Rev Gastroenterol Hepatol, 2014, 11(9): 535-544. DOI: 10.1038/nrgastro.2014.76.
    [4] ZÖRCHER T, HOCHBERGER J, SCHROTT KM, et al. In vitro study concerning the efficiency of the frequency-doubled double-pulse Neodymium: YAG laser (FREDDY) for lithotripsy of calculi in the urinary tract[J]. Lasers Surg Med, 1999, 25(1): 38-42. DOI: 10.1002/(sici)1096-9101(1999)25:1<38::aid-lsm5>3.0.co;2-l.
    [5] SIEDEK V, BETZ CS, HECHT V, et al. Laser induced fragmentation of salivary stones: An in vitro comparison of two different, clinically approved laser systems[J]. Lasers Surg Med, 2008, 40(4): 257-264. DOI: 10.1002/lsm.20624.
    [6] HOCHBERGER J, BAYER J, MAISS J, et al. Clinical results with a new frequency-doubled, double pulse Nd: YAG laser (FREDDY) for lithotripsy in complicated choledocholithiasis[J]. Biomed Tech (Berl), 1998, 43 Suppl: 172.
    [7] LEI J, WANG J, LI Q, et al. Laparoscopic transcystic common bile duct exploration: T-shaped incision of cystic duct with FREDDY laser lithotripsy[J]. J Laparoendosc Adv Surg Tech A, 2016, 26(8): 646-651. DOI: 10.1089/lap.2016.0004.
    [8] YANG T, MA Z, XU B, et al. Clinical role of frequency-doubled double-pulse neodymium YAG laser lithotripsy for removal of difficult biliary stones in laparoscopic common bile duct exploration[J]. ANZ J Surg, 2019, 89(9): e358-e362. DOI: 10.1111/ans.15364.
    [9] LIU J, JIN L, HAN W, et al. Laparoscopic transcystic common bile duct exploration combined with superfine choledochofiberscopy and double- frequency laser lithotripsy for biliary stones[J]. Chin J Min Inv Surg, 2014, 14(5): 393-395. DOI: 10.3969/j.issn.1009-6604.2014.05.003.

    刘军, 金岚, 韩威, 等. 经胆囊管超细胆道镜联合双频激光碎石治疗胆道结石[J]. 中国微创外科杂志, 2014, 14(5): 393-395. DOI: 10.3969/j.issn.1009-6604.2014.05.003.
    [10] SU SY, FEI L, LI JY. Treatment of biliary calculi with the double- pulse U100 laser through electronic choledochoscope under X-ray guidance[J]. China J Endosc, 2010, 16(1): 57-59. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGNJ201001022.htm

    苏树英, 费凛, 李杰原. X线引导经胆道镜U100双频激光治疗术后胆管残留结石[J]. 中国内镜杂志, 2010, 16(1): 57-59. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGNJ201001022.htm
    [11] WANG M, WEN W, FAN ZN. Treatment of refractory residual stones of intrahepatic and extrahepatic bile ducts with U-100 dual frequency laser lithotripsy under electronic choledochoscope[J]. Chin J Min Inv Surg, 2008, 8(9): 801-802. DOI: 10.3969/j.issn.1009-6604.2008.09.013.

    王敏, 文卫, 范志宁. 电子胆道镜下U-100双频激光碎石治疗肝内外胆管难取性残余结石[J]. 中国微创外科杂志, 2008, 8(9): 801-802. DOI: 10.3969/j.issn.1009-6604.2008.09.013.
    [12] CHO YD, CHEON YK, MOON JH, et al. Clinical role of frequency-doubled double-pulsed yttrium aluminum garnet laser technology for removing difficult bile duct stones (with videos)[J]. Gastrointest Endosc, 2009, 70(4): 684-689. DOI: 10.1016/j.gie.2009.03.1170.
    [13] PATEL SN, ROSENKRANZ L, HOOKS B, et al. Holmium-yttrium aluminum garnet laser lithotripsy in the treatment of biliary calculi using single-operator cholangioscopy: A multicenter experience (with video)[J]. Gastrointest Endosc, 2014, 79(2): 344-348. DOI: 10.1016/j.gie.2013.07.054.
    [14] KIM TH, OH HJ, CHOI CS, et al. Clinical usefulness of transpapillary removal of common bile duct stones by frequency doubled double pulse Nd: YAG laser[J]. World J Gastroenterol, 2008, 14(18): 2863-2866. DOI: 10.3748/wjg.14.2863.
    [15] LIU F, JIN ZD, ZOU DW, et al. Efficacy and safety of endoscopic biliary lithotripsy using FREDDY laser with a radiopaque mark under fluoroscopic guidance[J]. Endoscopy, 2011, 43(10): 918-921. DOI: 10.1055/s-0030-1256555.
  • 加载中
计量
  • 文章访问数:  429
  • HTML全文浏览量:  149
  • PDF下载量:  40
  • 被引次数: 0
出版历程
  • 收稿日期:  2021-04-20
  • 录用日期:  2021-04-20
  • 出版日期:  2021-06-20
  • 分享
  • 用微信扫码二维码

    分享至好友和朋友圈

目录

    /

    返回文章
    返回