腹腔镜治疗细径胆总管结石116例疗效探讨  

Effect Discuss of 116 Case of Laparoscopic Treatment for Small Diameter of Common Bile Duct Stones

作　　者：谭洪波[1] TAN Hong-bo （Shaoyang City No.1 People＇s Hospital in Hunan Province,Shaoyang 422000,China）

机构地区：[1]邵阳市第一人民医院,湖南邵阳422000

出　　处：《医学信息》2011年第10期2964-2965,共2页Journal of Medical Information

摘　　要：目的探讨腹腔镜治疗细径胆总管结石。方法选择2008年5月-2010年12月来我院治胆总管结石的患者116例，年龄在16-78岁，平均年龄49岁，其中男性患者64例，女性患者52例，术前经超声、CT、MRCP等确诊为胆囊、胆总管内结石、胆总管扩张。合并胆囊结石53例、合并肝内胆管结石31例，合并胆管炎9例．Minzzi综合征3例，单纯胆总管下端狭5例。将116例患者分为A组（腹腔镜胆总管探查取石）70例和B组（内镜下oddise括约肌切开联合腹腔镜胆囊切除术）46例。结果两组患者在手术时间、住院日以及并发症比较P小于0．05，具有显著性差异。结论腹腔镜胆道探查术是目前在胆总管结石的治疗方法上最安全有效的微创方法．适合积极广泛开展应用的技术。Objective To evaluate the laparoscopic treatment of small diameter of common bile duct stones. Methods In May 2008-2010 December to rule choledocholithiasis in our hospital 116 patients, aged 16-78 years, mean age 49 years, 64 patients were male, 52 cases of female patients, preoperative ultrasound, CT, MRCP and so diagnosed as gallbladder, common bile duct stones, common bile duct expansion. Gallbladder stones in 53 cases, 31 cases of intrahepatic bile duct stones, cholangitis in 9 cases combined. Mirizzi syndrome in 3 cases, 5 cases of simple narrow common bile duct. 116 cases were divided into A group （laparoscopic common bile duct stone extraction） in 70 ~：ases and B （combined endoscopic sphincterotomy oddise laparoscopic cholecystectomy） of 46 cases. Results The patients in the operative time, hospital stay, and complications of P 〈0.05 compared with significant difference. Conclusion Laparoscopie bile duct exploration in choledoeholithiasis surgery is the treatment of the most safe and effective minimally invasive method suitable for application of active technology extensively.

关 键 词：腹腔镜 细径胆总管结石:微创 

分 类 号：R657.4[医药卫生—临床医学;医药卫生—外科学]