保胆取石术117例临床分析  

Clinical analysis of 117 cases of cholecystolithotomy

作　　者：张俊杰[1] 赵海松[1] 张应选[1] 

机构地区：[1]郑州人民医院,郑州450003

出　　处：《临床医学》2013年第8期27-28,共2页Clinical Medicine

摘　　要：目的探讨腹腔镜、纤维胆道镜、硬质胆囊镜三镜联合保胆取石术的疗效及可行性。方法利用Chiao胆道镜、Olympus CHF20纤维胆道镜、Wolf腹腔镜对117例胆囊结石患者保留胆囊取石术,术后每3～6个月随访并复查胆囊彩超。结果 117例保胆取石术复发率为1.0%,并发症发生率为6.8%,中转腹腔镜胆囊切除术4例(3.4%);术后3个月查胆囊壁厚(2.41±0.33)mm,与术前比较变薄,差异有统计学意义(P﹤0.05)。结论保胆取石术技术简单、安全,对保留胆囊功能具有重要的临床应用价值。Objective To investigate the effect and feasibility of laparoscopy, choledochoscopy, hard gallbladder endoscope combined with endoscopic cholecystolithotomy. Methods Using Chiao eholedochoscopy, Olympus CHF20, Wolf choledochosco- py laparoscopy, 117 gallstone patients underwent cholecystolithotomy. Gallbladder ultrasound was made every 3 -6 months postoperatively. Results The recurrence rate was 1.0% of the 1 I7 cases of cholecystolithotomy, complication rate was 6. 80/o , 4 cases（ 3.4% ） converted to laparoscopic cholecystectomy（LC） ; gallbladder wall thickness was （2.41± 0. 33 ）mm at 3 months after operation, which was thinner, compared with that before operation, there was significant difference （ P 〈 0. 05 ）. Conclusion Cholecystolithotomy is simple, safe and has important clinical value on retaining gallbladder function.

关 键 词：保胆取石术 胆囊结石 

分 类 号：R657.4[医药卫生—外科学]