内镜下逆行胰胆管造影术联合腹腔镜治疗胆囊结石疗效分析  

Effect of endoscopic retrograde cholangiopancreatography combined with laparoscopy in the treatment of cholecystic stone

作　　者：王德举[1] 周志明[1] 

机构地区：[1]唐山市丰润区人民医院外科,河北省唐山064000

出　　处：《中国基层医药》2012年第7期997-998,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的观察胆囊结石患者应用内镜下逆行胰胆管造影术（ERCP）联合腹腔镜胆囊切除术（LC）的治疗效果。方法选取胆囊结石患者100例随机分为两组，对照组50例行传统的开腹手术方法，观察组50例行胰胆管造影术联合腹腔镜胆囊切除术，观察两组患者的临床治疗效果。结果观察组患者手术时间为（49．2±8．5）min、术中出血量（54．0±12．2）ml，对照组（80．2±15．7）min、术中出血量（114．5±27．5）ml，两组比较差异均有统计学意义（均P〈0．05）。观察组患者住院时间、术后感染率均明显低于对照组（均P〈0．05）。结论内镜下逆行胰胆管造影术联合腹腔镜胆囊切除术在临床的使用中安全可靠，并且对患者造成的损伤小，患者术后恢复快，住院时间少，能够减轻患者的经济负担，值得临床推广与应用。Objective To investigate the effect of endoscopic retrograde cholangiopancreatography （ERCP） combined with laparoscopic resection（LC） in the treatment of patients with cholecystic stone. Methods 100 patients with eholecystic stone were randomly divided into observation group and control group. The patients in the control group （50 cases） received traditional open surgery, and the patients in observation group （50 eases） were given ERCP combined with LC. The effects of two groups were observed. Results The operative time was （49.2 ~ 8.5 ） min and intraoperative blood loss was （ 54.0 ~ 12.2 ） ml in the observation group. The operative time was （ 80.2 ~ 15.7 ） min and intraoperative blood loss was （ 114.5 ~ 27.5 ） ml in control group. There were statistically significant differences between two groups（ P 〈 0.05 ）. The hospital stay time and postoperative infection rate of the observation group was significantly lower than that of the control group （ all P 〈 0.05 ）. Conclusion It was a safe and effective method to treat patients with cholecystic stone by ERCP combined with LC, which had the advantages of less trauma, faster recovery, less hospitalization time and could reduce the financial burden on patients, thereby it was worthy of clinical application.

关 键 词：胆囊结石病 胰胆管造影术 内窥镜逆行 胆囊切除术 腹腔镜 

分 类 号：R657.4[医药卫生—外科学]