腹腔镜联合胆道镜取石术治疗30例胆石症临床分析  

Clinical study of 30 patients with cholelithiasis treated with laparoscopic combined with choledochoscopic lithotomy

作　　者：张健[1] 

机构地区：[1]淮南市第一人民医院普外科,232007

出　　处：《安徽医学》2013年第11期1640-1642,共3页Anhui Medical Journal

摘　　要：目的对比分析腹腔镜、胆总管探查术与常规开腹手术治疗胆石症的疗效差异。方法对我院2009年3月至2012年6月30例行腹腔镜胆囊切除术+腹腔镜胆总管探查术(LCBDE)+T管引流术的胆石症患者(观察组),以及同期行传统开腹手术的28例患者的病例资料进行回顾性分析,比较二者的术前一般情况以及手术后疗效。结果观察组术中出血量、住院时间及并发症例数与对照组比,差异有统计学意义;两组的结石清除率及住院费用相比,差异无统计学意义。结论 "双镜"联用(腹腔镜、胆道镜)治疗胆石症安全、有效、恢复快。Objective To study and compare with the clinical efficacy of the laparoscopic combined with choledochoscopic lithotomy and traditional laparotomy for the treatment of cholelithiasis. Methods A retrospective analysis of 30 patients with cholelithiasis in our hospi- tal from March 2009 to July 2012 with LC ＋ LCBDE ＋ T - tube drainage and 28 patients treated by traditional operation was performed, and the differences of general conditions before the operation and the curative effect between the two groups were revealed. Results Statistically significant differences were found in peroperative bleeding, duration of hospital stay, and number of complication cases between study group and control group. However, there was no statistical significance in the clearance of calculus and cost of hospitalization between the two groups. Conclusion Laparoscopic combined with choledoehoscopie lithotomy is safe, effective, and helpful to recover quickly, which is a minimally invasive surgery with an even brighter future.

关 键 词：腹腔镜胆囊切除术 胆石症 腹腔镜胆总管探查术 

分 类 号：R657.4[医药卫生—外科学]