腹腔镜联合胆道镜治疗胆囊结石合并胆总管结石的临床研究  

CLINICAL STUDY OF LAPAROSCOPY AND CHOLEDOCHOSCOPE IN TREATMENT OF CHOLECYSTOLITHIASIS COMBINED WITH CALCULUS OF COMMON BILE DUCT

作　　者：陈建立[1,2] 常艳 王健[1] 张国志[1] 王长友[1] 

机构地区：[1]华北煤炭医学院附属医院普外科,唐山063000 [2]天津医科大学总医院普外科 [3]河北唐海县人民医院

出　　处：《现代预防医学》2009年第17期3388-3390,共3页Modern Preventive Medicine

摘　　要：[目的]评价腹腔镜联合胆道镜胆管结石切开取石术的临床应用价值。[方法]回顾性分析77例胆囊结石合并胆总管结石的治疗方法和结果,23例行腹腔镜联合胆道镜胆管结石切开取石术,54例行开腹胆囊切除、胆总管切开取石、T管引流术。[结果]腹腔镜联合胆道镜胆管切开取石术组的术后胃肠功能恢复时间、住院时间及术后并发症发生率均少于对照组,手术时间长于对照组,住院费用差异无统计学意义。[结论]腹腔镜联合胆道镜胆管结石切开取石术是一种安全、有效、可行的微创治疗方法。[Objective] To study the advantages in treatment of calculus of bile duet by LCBDE. [Methods] 77 eases of cholecystolithiasis combined with calculus of common bile duct, who underwent surgical therapy were retrospectively reviewed, 23 patients were treated by LCBDE, 54 patients were treated by OC＋OCHTD. [ Results] After laparoseopy combined with eholedoeholithotomy with choledoeboseope operation, recovery time of gastrointestinal function, in-hospital time, complications incidence were less, operation time was longer, and cost of hospitalization was not different comparing with controls. [Conclusion] Laparoscopy combined with eholedoeholithotomy with eholedoehoscope operation is a safe, effective, feasible mini-inva- sire therapies.

关 键 词：胆管结石 腹腔镜 胆道镜 胆管结石切开取石术 

分 类 号：R575.62[医药卫生—消化系统]