| 摘要: |
| ［摘要］ 胆囊结石合并胆总管结石是临床上常见的疾病之一，严重威胁着患者的身心健康。以往，具有创伤大、并发症发生率高、患者恢复慢等特点的开腹手术是其主要的治疗手段。随着微创外科的不断发展，其外科治疗方式也丰富了起来。近年来，经胆囊管入路同期三镜（腹腔镜、胆道镜、十二指肠镜）联合行胆总管探查取石并留置鼻胆管引流的方法逐步推广应用于临床，成为一种新的治疗方式。该文就此术式的适应范围（适应证、禁忌证）、操作及技巧要点、术式的优劣势进行总结，以期为临床医师提供可靠的参考依据。 |
| 关键词: 胆总管结石 三镜联合 鼻胆管引流 |
| DOI：10.3969/j.issn.1674-3806.2018.03.29 |
| 分类号:R 657.4 |
| 基金项目: |
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| Advances in treatment of choledocholith with three mirrors through the cystic duct |
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HUO Jun-kai, LI Kai-hua, LIU Hong
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Department of General Surgery, the First Affiliated Hospital of Shanxi Medical University, Taiyuan 030001, China
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| Abstract: |
| ［Abstract］ Cholecystolithiasis complicated with choledocholithiasis is one of the common clinical diseases and is a serious threat to human physical and mental health. In the past, open surgery was its main treatment with characteristics of a large trauma, high incidence of complications and slow recovery. With the continuous development of minimally invasive surgery, surgical therapies also enrich the way of treatment. In recent years, through the cystic duct approach three mirrors(laparoscopy, choledochoscopy and duodenoscopy) combined with the common bile duct exploration and retention of endoscopic nasobiliary drainage gradually applies to the patients in clinics, as a new treatment. In this paper, we summarize the operation scopes(indications, contraindications), technical points, advantages and disadvantages of the surgery to provide a reliable reference for clinicians. |
| Key words: Choledocholith Three mirror joint Endoscopic nasobiliary drainage |
