腹腔镜联合胆道镜治疗胆总管结石的临床分析  

Clinical Analysis of Laparoscopy Combined Cholangioscopy Treat for Choledocholithiasis

作　　者：林建清[1] 毛盛名[1] 

机构地区：[1]广东省清远市人民医院,广东清远511518

出　　处：《哈尔滨医药》2016年第5期519-521,共3页Harbin Medical Journal

基　　金：清远市科技计划项目医疗卫生领域自筹经费<胆道镜联合液电碎石治疗胆道术后结石残留的临床研究>(201413051)

摘　　要：目的探讨腹腔镜联合胆道镜治疗胆总管结石的疗效。方法回顾性分析清远市人民医院2013年7月至2015年11月收治的胆总管结石86例患者临床资料,按照手术方式不同分为双镜组(n=39例)及ERCP/EST+LC组(n=47例),比较两组患者的疗效、手术指标及并发症情况。结果两组结石清除率均为100%,两组患者取石复发率比较无统计学差异(P>0.05);双镜组的住院时间[(9.9±4.4)d vs.(15.4±5.1)d]及术后3 d VAS评分[(4.3±2.9)分vs.(6.8±2.7)分]显著低于ERCP/EST+LC组(P<0.05);双镜组的医源性胰腺炎发生率及总并发症发生率显著低于ERCP/EST+LC组(P<0.05)。结论腹腔镜联合胆道镜治疗胆总管结石与ERCP/EST+LC比较术后恢复更快,术后疼痛轻,并发症少,是一种理想的取石微创治疗手段。Objective To explore the efficacy of laparoscopy combined cholangioscopy treat for choledocholithiasis.Methods Retrospectived analysis 86 choledocholithiasis clinical data from July 2013 to November 2015 from QingYuan City People＇s Hospi-tal.all patients were divided into the double mirror group（n=39 patients） and ERCP/EST＋LC group（n=47 patients）,the efficacy surgery and complications index were compared.Results The stone clearance rate in the two groups were 100%.the stone recur-rence rate in the two groups compared with no significantly difference.P〉0.05.the hospitalization [（9.9±4.4）d vs.（15.4±5.1）d]and postoperative 3 d VAS Rating[（4.3±2.9）scores vs.（6.8±2.7）scores] in double mirror group were significantly lower than ERCP/EST＋ LC group,P〈0.05;the iatrogenic pancreatitis incidence and prevalence of complications in double mirror group were significantly lower than ERCP / EST ＋ LC group,P〈0.05.Conclusion laparoscopy combined cholangioscopy treat for choledocholithiasis com-pare ERCP / EST ＋ LC with relatively faster postoperative recovery,postoperative pain,fewer complications,that is an ideal stone minimally invasive treatment.

关 键 词：腹腔镜 胆道镜 胆总管结石 

分 类 号：R575.7[医药卫生—消化系统]