ERCP+EST联合LC与开腹手术治疗胆囊并胆总管结石比较  

Treatment of cholecystolithiasis complicated by choledocholithiasis by ERCP+EST combined with laparoscopic cholecystectomy

作　　者：贺永锋[1] 杨小翠[1] 杨成林[2] 肖翔[1] 高原[1] 别玉坤[2] 张光亚[2] 

机构地区：[1]安康市中心医院消化内科,陕西安康725000 [2]安康市中心医院肝胆外科,陕西安康725000

出　　处：《西南国防医药》2016年第5期502-504,共3页Medical Journal of National Defending Forces in Southwest China

摘　　要：目的探讨逆行胰胆管造影乳头切开取石术（ERCP＋EST）联合腹腔镜胆囊切除术（LC）治疗胆囊并胆总管结石的临床疗效。方法选择2013年6月~2014年6月我院肝胆外科收治的162例胆囊并胆总管结石患者,按照手术方式不同分为微创组（88例）与传统组（74例）,传统组采用传统开腹手术治疗,微创组采用十二指肠镜ERCP联合内镜十二指肠EST方案治疗,比较两组的临床疗效、住院时间、医疗费用、并发症发生率。结果两组术后均达治愈,微创组住院时间短于传统组（P〈0.05）,医疗费用及并发症发生率比较两组差异均无统计学意义（P〉0.05）。结论 ERCP＋EST联合LC治疗胆囊并胆总管结石安全有效,患者恢复快。Objective To explore the clinical curative effects of ERCP＋EST combined with laparoscopic cholecystectomy（LC） on cholecystolithiasis complicated by choledocholithiasis. Methods 162 patients with cholecystolithiasis complicated by choledocholithiasis hospitalized between June 2013 and June 2014 were selected and divided into minimally invasive group with 88 cases and traditional group with 74 cases according to different types of surgery. The traditional group received the traditional laparotomy, while the minimally invasive group received duodenoscopic ERCP combined with endoscopic duodenum EST treatment.Comparison was made in the clinical curative effects, length of stay, medical cost, and incidence of complications between the two groups. Results The two groups were both cured. The length of stay in the minimally invasive treatment group was shorter than that in the traditional group（P 0.05）. There were no significant differences in the medical costs and the incidence of complications between the two groups（P 0.05）. Conclusion ERCP＋EST combined with LC in the treatment of cholecystolithiasis complicated by choledocholithiasis are safe and effective, and patients obtain fast recovery.

关 键 词：胰胆管造影 乳头切开 胆囊 切除 胆总管 结石 

分 类 号：R657.42[医药卫生—外科学]