三镜联合治疗胆囊并胆总管结石的临床研究  

Clinical study on laparoscopy combined with endoscopy in treating cholecystolithiasis and choledocholithiasis

作　　者：谢凯祥[1] 涂湘炎[1] 汤俊[1] 贺宜伟[1] 向海燕[1] 黄飞舟[2] 

机构地区：[1]湖南省湘潭市第一人民医院肝胆外科,湖南湘潭411101 [2]中南大学湘雅三医院普外科,湖南长沙410013

出　　处：《中国内镜杂志》2008年第9期970-973,共4页China Journal of Endoscopy

摘　　要：目的探讨三镜联合治疗胆囊并胆总管结石的适宜方法及临床价值。方法对71例经彩超、ERCP诊断胆囊并胆总管结石的患者,根据检查结果将EST、ENBD、LC、LCDE及胆道镜按3种不同的组合模式实施治疗。结果该组手术均获成功。ERCP+EST取石+LC36例,ERCP+ENBD+LC+LCDE+胆道镜取石19例,ERCP+LC+LCDE+胆道镜取石+T管引流16例。结论三镜以3种不同的组合模式治疗胆囊并胆总管结石是安全有效的方法。[Objective] To explore the optimal methods and clinical value of laparoscopy combined with endoscopy in treating cholecystolithiasis and choledocholithiasis. [Methods] 71 patients with cholecystolithiasis and choledocholithiasis, which were diagnosed by colour ultrasound and ERCP, were respectively treated with EST, ENBD, LC, LCDE and choledochoscopy which were combined according to 3 different patterns. [Results] All the operation was successfully performed. 36 cases were treated with ERCP+EST+LC; 19 cases...

关 键 词：腹腔镜 内镜 胆囊结石 胆总管结石 治疗效果 

分 类 号：R657.4[医药卫生—外科学]