LCBDE与EST治疗胆总管结石疗效分析  

Analysis of clinical efficiency on LCBDE and EST for the treatment of common bile duct stones

作　　者：郑志海[1] 暨玲[1] 阮小蛟[1] 胡如英[1] 王小坤[1] 郑晓风[1] 蒋飞照[1] 

机构地区：[1]温州医学院第一附属医院腔镜外科,浙江温州325000

出　　处：《肝胆胰外科杂志》2011年第6期463-465,共3页Journal of Hepatopancreatobiliary Surgery

摘　　要：目的对比分析腹腔镜胆总管切开取石术(LCBDE)和内镜下括约肌切开术(EST)治疗胆总管结石的疗效。方法回顾性分析我院2007年1月至2010年6月行LCBDE治疗的64例胆总管结石患者临床资料,以同期行EST治疗的71例胆总管结石患者临床资料作为对照。结果两组手术成功率均大于90%,均无手术相关死亡发生。与EST组相比,LCBDE组术后急性胰腺炎发生率0%对9.86%,结石残留率3.13%对15.49%,结石复发率1.56%对12.6%,均低于EST组,差别均具有统计学意义(P<0.05)。结论 LCBDE与EST相比在治疗胆总管结石上具有术后并发症发生率、结石残留率、结石复发率低的优势,是胆总管结石患者的首选微创疗法。Objective To compare and analyze the curative effect for common bile duct（CBD） stones by laparoscopic common bile duct exploration（LCBDE） and endoscopic sphincterotomy（EST）.Methods Sixty-four cases of CBD stones underwent LCBDE between January 2007 to June 2010 were retrospectively studied,and in the same period,71 cases of CBD stones underwent EST were studied as the control group.Results The success rate of both procedures were more than 90%,no mortality occured post-operative.The acute pancreatitis occurance rate in LCBDE group was 0% compared with EST group at 9.86%,residual stones rate was 3.13% to 15.49%,stone recurrence rate 1.56% to 12.6%.The results showed the LCBDE group surgical effect were much better than EST group,and there was significant difference between two group statistically（P0.05）.Conclusion Compared with EST group,LCBDE for the treatment of CBD stones is the prefered option with lower post-operative complications,residual stones rate and recurrence rate of stone.

关 键 词：胆总管结石 腹腔镜胆总管切开取石术 内镜下括约肌切开术 

分 类 号：R657.4[医药卫生—外科学]