Cholangioscopic management of bile duct refractory residual stone and stenosis by Holmium Laser lithotripsy and orthomorphia
- VernacularTitle:纤维胆道镜下钬激光碎石及狭窄矫形治疗难取性胆管结石
- Author:
Shuxin YIN
;
Guozhang XING
;
Jiansheng ZHANG
- Publication Type:Journal Article
- Keywords:
Cholelithiasis;
Bile duct stenosis;
Lithotripsy, laser;
Holmium
- From:
Chinese Journal of Digestive Endoscopy
1996;0(06):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical effect of cholangioscopic Holmium laser lithotripsy for bile duct refractory residual stone and orthomorphia for intrahepatic bile duct membranous stenosis. Methods The final diagnosis was established by T tube retrograde cholangiography and cholangioscopy in 12 patients with refractory bile duct residual stone. Twenty-nine stones distribute in extrahepatic and intrahepatic bile duct and 5 intrahepatic bile duct membraneous stenosis were found in 3 cases. All patients underwent Holmium laser lithotripsy and orthomorphia. Results The stone clearance rate was 100% in 12 patients after cholangioscopic holmium laser lithotripsy. No serious complication occurred in patients after 5 membranous stenosis orthomorphia. Follow-up observation on 11 patients shows no obvious recurrence of symptom and stones. Conclusion Holmium laser lithotripsy and orthomorphia are safe and effective in the treatment of bile duct refractory residual stone and stenosis.
