硬质胆道镜联合腹腔镜保胆取石治疗胆囊结石、胆囊息肉的78例疗效观察  

Effect observation of rigid choledochoscope combined with laparoscopic minimally invasive cholecystolithotomy on the treatment of 78 patients with cholecystolithiasis and polypoid lesion of gallbladder

作　　者：郝云鹤[1] 李晓明[2] 姚本来 刘松平[1] 

机构地区：[1]海南省农垦三亚医院普通外科,海南三亚572009 [2]海南省三亚市人民医院肝胆外科,海南三亚572000

出　　处：《实用临床医药杂志》2015年第3期104-105,107,共3页Journal of Clinical Medicine in Practice

基　　金：中国高校医学期刊临床专项资金(11321974)

摘　　要：目的观察硬质胆道镜联合腹腔镜保胆取石治疗胆囊结石、胆囊息肉的临床疗效。方法 48例胆囊结石与30例胆囊息肉患者行硬质胆道镜保留胆囊、取净结石和息肉手术,术后定期复查腹部彩超。结果 78例患者中1例(1.28%)因结石位于胆囊颈且嵌顿中转行胆囊切除,其余均顺利手术;1例(1.28%)术后2月发现胆囊颈内残余结石,行腹腔镜胆囊切除术;胆囊息肉术后病理检查均为良性息肉。结论硬质胆道镜取石、取息肉术方法简单、安全、可行,是保留胆囊功能的有效方法。Objective To observe the clinical effect of rigid choledochoscope combined with laparoscopic minimally invasive cholecystolithotomy（ LMIC） on the treatment of cholecystolithiasis and polypoid lesion of gallbladder（ PLG）. Methods Forty patients with cholecystolithiasis and thirty patients with PLG were treated with preservation of the calculus and elimination fo stone and polyp operation by rigid choledochoscope. Abdominal color ultrosonography was re- examined regularly after operation. Results Of the 78 patients,the operations completed successfully except that one patient（ 1.28%） had to perform cholecystectomy due to the calculus locating in the neck of gallbladder and the calculus incarceration. Residual calculus was observed in one patient two months after operation,and the laparoscopic cholecystectomy was performed. The postoperative pathological examination showed benign polyp in PLG patients. Conclusion Rigid choledochoscope is simple,safe and available in removing the calculus and polyp,and it is an effective method for preservation of gallbladder function.

关 键 词：硬质胆道镜 胆囊结石 胆囊息肉 保胆取石术 胆囊功能 

分 类 号：R575.6[医药卫生—消化系统]