引用本文:郭 博.腹腔镜胆囊切除术联合胆总管探查术治疗胆囊结石合并胆总管结石临床观察[J].中国临床新医学,2017,10(8):784-786.
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腹腔镜胆囊切除术联合胆总管探查术治疗胆囊结石合并胆总管结石临床观察
郭 博
462000 河南,漯河市郾城区人民医院普外科
摘要:
[摘要] 目的 分析腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)联合胆总管探查术(laparoscopic common bile duct exploration,LCBDE)治疗胆囊结石合并胆总管结石的临床效果。方法 选取2015-07~2016-03该院收治的胆囊结石合并胆总管结石患者90例,按手术方法不同分为对照组和观察组,各45例。对照组采用经内镜十二指肠乳头括约肌切开术(endoscopic sphincterotomy,EST)治疗,观察组采用LC+LCBDE治疗,对比两组患者手术情况及并发症发生率。结果 两组患者住院时间、住院费用、手术成功率及残余结石率比较差异无统计学意义(P>0.05);观察组一期治愈率明显高于对照组,手术时间短于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为11.11%,明显低于对照组的31.11%,差异有统计学意义(P<0.05)。结论 LC+LCBDE治疗胆囊结石合并胆总管结石临床效果显著,取石率高,可有效缓解患者临床症状,降低二次手术的风险,并发症少,安全性高,值得在临床应用中推广。
关键词:  腹腔镜胆囊切除术  胆总管探查术  胆囊结石合并胆总管结石
DOI:10.3969/j.issn.1674-3806.2017.08.21
分类号:R 657.4
基金项目:
Clinical effect of laparoscopic cholecystectomy combined with common bile duct exploration on treatment of cholecystolithiasis complicated with choledocholithiasis
GUO Bo
Clinical effect of laparoscopic cholecystectomy combined with common bile duct exploration on treatment of cholecystolithiasis complicated with choledocholithiasis
Abstract:
[Abstract] Objective To explore the clinical effect of laparoscopic cholecystectomy combined with common bile duct exploration on the treatment of cholecystolithiasis complicated with choledocholithiasis.Methods 90 patients with cholecystolithiasis complicated with choledocholithiasis were selected in our hospital from July 2015 to March 2016. All the patients were divided into two groups according to the different surgical methods, with 45 cases in each group. The control group was treated with endoscopic sphincterotomy, and the observation group was treated with laparoscopic cholecystectomy laparoscopic common bile duct exploration(LC+LCBDE). The clinical effect and the complications were compared between the two groups.Results There were no significant differences in the hospitalization time and costs, the success rate of surgery and residual stone rate between the two groups(P>0.05). The curative rate of the first stage was significantly higher and the operation time was shorter in the observation group than those in the control group(P<0.05). The complication rate of the observation group(11.11%) was significantly lower than that of the control group(31.11%),(P<0.05).Conclusion LC+LCBDE is safe and effective in the treatment of cholecystolithiasis and choledocholithiasis.
Key words:  Laparoscopic cholecystectomy  Common bile duct exploration  Cholecystolithiasis complicated with choledocholithiasis