Percutaneous Removal of Biliary Stones

經皮膽結石取石術

大田生穗(Ikuho Ohta) ； 楊斐適(Fei-Shih Yang) ； 蔣咸嘉(Hsein-Jar Chiang) ； 楊良友(Albert D. Yang) ； 楊圳隆(Tseng-Long Yang) ； 鄭國祥(Kuo-Shyang Jeng) ； 林清澤(Jackson Ching-Tzar Lin) ； 馬玉章(Yei-Chang Ma)

《中華放射線醫學雜誌》 19卷4期 (1994/12) Pp. 319-325

摘要

膽道結石是亞洲人相當普偏的一種疾病。雖然國外也報告不少文獻，但多半由T-tube管道取石。近二年半來，馬偕紀念醫院收集了膽道結石的病患一經皮取石術。多半的病例為曾接受過外科治療而復發者。曾經對31個病人施行34次取石法。這些病人依開刀與否，結石狀態取石法分為四組。第一組為術後復發性膽道結石及PTBD管道取石法（22例，25次術程）。第二組為術後殘留結石及T-tube管道取石術（3例，3次術程）。第三組為術後殘留結石及PTBD管道取石術（2例，2次術程）。第四組為沒有接受過外科取石術而直接用PTBD管道取石者（4例，4次術程）。這些治療過程中沒有特別的併發症，但有二個病例，因為腦中風，或為上消化道出血而死亡，其成功率達94.1%。我們的病例、幾乎由PTBD管道取石。有些病人由於一些臨床上的理由，無法進行開刀而施行經皮取石術。經皮膽道取石術為相當有意義於復發性膽道結石及無法開刀之膽道結石者。

關鍵字

膽道，結石 ； 膽道，介入性檢查

並列摘要

Percutaneous removal of biliary stones was done for 31 patients, in 34 procedures during the past two and a half years at Mackay Memorial Hospital. These patients were divided into four groups, according to their status and methods of percutaneous lithotomy.
Group I had post-operative recurrent biliary stones with Percutaneous transhepatic biliary drainage (PTBD) tract removal (22 patients, 25 procedures); Group Ⅱ had post-operative residual stones, with T-tube sinus tract removal (3 patients, 3 procedures); Group Ⅲ had post-operative residual stones with PTBD tract removal (2 patients, 2 procedures); Group Ⅳ had direct PTBD tract removal without surgery (4 patients, 4 procedures). There was no serious complication during any of these procedures, two patients died from other complications, stroke or gastric bleeding.
The success rate was 94.1%. Procedure pertaining to be percutaneous removal of biliary stones is presented in detail.

並列關鍵字

Bile ducts, calculi ； bile ducts, interventional procedure