探讨不同微创术治疗胆囊结石合并胆总管结石的效果  

To investigate the clinical research of different minimally invasive surgical cure cholecystolithiasis and choledocholithiasis

作　　者：韩一龙 

机构地区：[1]西充县太平中心卫生院,四川南充637200

出　　处：《临床医药文献电子杂志》2015年第4期596-597,共2页Electronic Journal of Clinical Medical Literature

摘　　要：目的观察不同微创术治疗胆囊结石合并胆总管结石的效果。方法将72例胆囊结石合并胆总管结石患者,随机分为对照组与研究组各36例,研究组给予腹腔镜胆囊切除、胆总管探查取石术(LC+LCBDE)治疗,对照组采用内镜下Oddi括约肌切开联合腹腔镜胆囊切除术(LC+EST)治疗,观察两组的疗效。结果治疗后,研究组患者的手术时间以及住院费用明显低于对照组,且研究组总有效率明显高于对照组,组间比较差异具有统计学意义(P<0.05)。结论给予胆囊结石合并胆总管结石患者腹腔镜胆囊切除、LC+LCBDE疗效较为显著,值得在临床中推广和应用。Objective To observe the different minimally invasive surgical cure cholecystolithiasis and choledocholithiasis effect.Methods72 patients with cholecystolithiasis and choledocholithiasis patients, were randomly divided into control group and study group with 36 cases in each group, the research group were treated by laparoscopic cholecystectomy, choledocholithotomy （LC＋LCBDE） treatment, the control group treated by endoscopic Oddi sphincterotomy combined with laparoscopic cholecystectomy （LC＋EST） treatment, observe two groups the effect of treatment.ResultsAfter the treatment, operation time and hospitalization expenses in patients of the study group was signiifcantly lower than the control group, and the total effective rate was signiifcantly higher than that in control group, the study group, the differences between groups was significant, with statistical significance （P〈0.05）.ConclusionCholecystolithiasis with common bile duct stones in patients with laparoscopic cholecystectomy, choledocholithotomy （LC＋LCBDE） treatment effect is signiifcant, worthy of clinical popularization and application.

关 键 词：不同微创术式 胆囊结石合并胆总管结石 疗效 

分 类 号：R657.4[医药卫生—外科学]