胆囊结石并发胆总管结石微创外科治疗的临床对比研究  

Clinical comparative study of minimally surgical treatment of cholecysto choledocholithiasis

作　　者：黄东[1] 孙敏[1] 但超[1] 李恒[1] 

机构地区：[1]湖北医药学院附属太和医院普外科,湖北十堰442000

出　　处：《临床急诊杂志》2013年第4期165-167,共3页Journal of Clinical Emergency

摘　　要：目的:探讨腹腔镜下胆囊切除、胆总管探查(LC+LCBDE)与内镜逆行性胰胆管造影(ERCP)联合腹腔镜胆囊切除术(LC)治疗胆囊结石并发胆总管结石的术式选择及临床效果。方法:回顾总结胆囊结石并发胆总管结石患者90例,采用LC+LCBDE52例,ERCP+LC38例手术治疗的临床资料,从手术适应证、手术时间、并发症发生率、术后效果等进行了对比研究。结果:两种术式手术适应证不同,应根据术前检查选择不同的手术方式,所有患者均无中转开腹,未出现术后并发症。结论:两种术式各有适应证和优缺点,应根据具体情况采用安全有效的手术方式。Objective：To evaluate the effect of LC-uLCBDE and ERCP combined LC on treating cholecysto-choledocholithiasis. Method： Fifty-two patients with calculus of extra hepatic bile duct were treated by LC LCBDE,and thirty-eight cases by ERCP combined with LC. The clinical data of two groups was contrasted in the operation indication, time, cost, incidence rate of complication, operation effect and so on. Result： There have differ-ent operation indication. Conclusion： There are respective indication, advantages and disadvantages in the two groups. Different operation should be adopted according to specific condition.

关 键 词：腹腔镜胆总管探查术 内镜逆行性胰胆管造影 腹腔镜胆囊切除术 胆总管结石 

分 类 号：R575.6[医药卫生—消化系统]