腹腔镜联合十二指肠镜治疗肝外胆管结石的体会  

作　　者：李谦[1] 曾军[1] 梁海飞[1] 肖强[1] 王存川[1] 

机构地区：[1]清远市人民医院普外科,清远511500

出　　处：《中国医疗前沿》2009年第15期34-35,共2页China Healthcare Innovation

摘　　要：目的探讨腹腔镜联合十二指肠镜治疗肝外胆管结石合并胆囊结石的临床治疗技术效果。方法分析30例肝外胆管结石合并胆囊结石患者采用腹腔镜联合十二指肠镜进行治疗(甲组)及30例同类患者行腹腔镜下胆囊切除、胆总管探查取石+"T"管引流术进行治疗(乙组)病人资料,对两组中患者所需总治疗时间,术后胆瘘出现数量情况进行统计比较。结果在整个疾病的治疗过程中,通过采用腹腔镜联合十二指肠镜对肝外胆管结石患者进行治疗所需治疗时间明显少于乙组。术后出现胆瘘的并发症情况,两组也有显著差异性。结论应用腹腔镜联合十二指肠镜治疗肝外胆管结石合并胆囊结石技术优于单纯腹腔镜下胆总管探查+"T"管引流术。有推广普及价值,可做为肝外胆管结石治疗的首选方法。Objective Explore the clinical technology effect of the treatment by Laparoscope together with gastrduodenoscopy on extrahepatic bile duct stone combined with Cholecystolithiasis. Methods Analyze the information of 30 patients who suffer from extrahepatic bile duct stone combined with Cholecystolitbiasis cured by Laparoscope together with gastrduodenoscopy （Group A） and the information of 30 other patients suffering from the same disease who are cured by Laparoscopic Cholccystectomy ＋T tube Drainage （Group B）. Count and compare the treating period needed and the cases of biliary fistula after operation of the two groups. Results During the process of curing the disease, the time for the treatment which has applied the method of Laparoscope together with gastrduodenoscopy is obviously less than that of Group B, while the cases of biliary fistula are less as well. Conclusion Using the method of Laparoscope together with gastrduodenoscopy to cure the disease of extrahepatic bile duct stone combined with Cholecystolithiasis is superior to the way of applying Laparoseopic Cholecystectomy ＋T-tube Drainage. With the value of promotion and popularization, this could be chosen as the top method for curing extrahepatic bile duct stone.

关 键 词：腹腔镜 十二指肠镜 肝外胆管结石 

分 类 号：R657.4[医药卫生—外科学]