http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
- 中文 을 입력하시려면 zhongwen을 입력하시고 space를누르시면됩니다.
- 北京 을 입력하시려면 beijing을 입력하시고 space를 누르시면 됩니다.
RISS 인기검색어
- 검색키워드
- 저자 : 조영덕(Young Doek Cho) (검색결과 1 건)
- 무료
- 기관 내 무료
- 유료
-
봉형근(Hyung Keun Bong),이영흥(Young Heung Lee),조영덕(Young Doek Cho),김진오(Jin Oh KIm),조주영(Joo Young Cho),김연수(Yun Soo Kim),이준성(Jun Seong Lee),이문성(Moon Sung Lee),황성규(Seong Gyu Hwang),심찬섭(Chan Sup Shim) 대한내과학회 1998 대한내과학회지 Vol.54 No.6
Objective: Intrahepatic stones provide a quite different spectrum of problems f by surgeons in the tem hemisphere. Although unilateral left intrahepatic stones have been treated by left hepatic lobectomy, bilateral or right intrahepatic stones can be even more troublesome because they frequently cannot be completely removed by conventional surgical stone extraction procedure. Recently, the use of a flexible fiberoptic choledochoscope, electrohydraulic lithotriptor (EHL) and dilators make it possible to completely remove intrahepatic stones by nonsurgi- cal procedures in the majority of c Methods: During the last 5 years, we treated intrahepatic stones in 114 patients with a fiberoptic choledochoscope, EHL and dilators via percutaneous transhepatic route. For construction of percutaneous transhepatic routes, we punctured intrahepatic ducts by ultrasonographic guidance and then dilated the tracts by PTBD set (Nipro Co., Japan) under fluoroscopic guidance. Choledochoscopy were performed at 4-6 weeks later, and Dormina basket, EHL, balloon or bougie dilators were used for removal of stones. Results: Success rates according to the locations of stones were 87.5% (14/16) in unilateral right intrahepatic stones, 92.9% (39/42) in unilateral left intrahepatic stones, and 89.3% (50/56) bilateral intrahepatic stones. Overall success rate was 90.4% (103/114). Causes of incomplete removal of the stones in our patients included the failure of construction or maintenance of percutaneous transhepatic routes in 4 cases, intrahepatic bile duct stricbm proximal to impacted stones in 3, acute ductal angulation in 2, and stones located at the very distal branches of intrahepatic ducts in 2 cases. Complications associated with the procedure were transient fever in 8 cases, severe hemobila in 2 cases and bihary perforation in 3 cases. Conclusion: These results suggest that gemutaneaus transhepatic choledochoscopic approach is a relatively safe and effective method for treatment of intrahepatic stones.
연관 검색어 추천
이 검색어로 많이 본 자료
활용도 높은 자료
