| 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。笔者就此术式的适应范围（适应症、禁忌症）、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： |
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| Advances in the treatment of choledocholith with three mirror through the cystic duct |
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huojunkai, liuhong
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Fist Hospital of Shanxi Medical University
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| Abstract: |
| cholecystolithiasis combined with choledocholith is one of the common clinical disease, a serious threat to the patient's physical and mental health. In the past, with a large trauma, high incidence of complications, patients with slow recovery and other characteristics of open surgery is its main treatment. With the continuous development of minimally invasive surgery, the surgical treatment is also enriched. In recent years, through the cystic duct approach three mirror (laparoscopic, choledochoscopy, duodenoscopy) combined with the common bile duct exploration and retention of endoscopic nasobiliary drainage gradually applied to clinical, as a new treatment . The author of this operation to adapt to the scope (indications, contraindications), operation and technical points, the advantages and disadvantages of surgery to sum up in order to provide a reliable reference for clinicians. |
| Key words: Choledocholith Three mirror joint Endoscopic Nasobiliary Drainage |
