腹腔镜取石术联合内镜逆行胰胆管造影治疗胆石症的临床疗效  

The clinical efficacy of laparoscopic stone surgery combined with endoscopic retrograde cholangiopancreatography in the treatment of cholelithiasis

作　　者：李晓林[1] 张冲[2] 石德红[2] 梁君蓉[2] 

机构地区：[1]陕西省宝鸡市金台医院消化科,陕西宝鸡721000 [2]陕西省宝鸡市解放军第三医院消化科,陕西宝鸡721000

出　　处：《临床医学研究与实践》2016年第25期71-72,共2页Clinical Research and Practice

摘　　要：目的观察腹腔镜取石术(LC)联合内镜逆行胰胆管造影(ERCP)治疗胆石症的临床疗效。方法对解放军第三医院100例胆石症患者采用LC+ERCP治疗,设为研究组,对同期100例胆石症患者采用常规开腹治疗,设为对照组,对两组的手术情况及取石成功率进行比较。结果研究组切口长度、术中出血量、住院时间明显优于对照组,差异有统计学意义(P<0.01);研究组取石成功率为93%,对照组取石成功率为88%,差异不显著(P>0.05)。结论腹腔镜取石术联合内镜逆行胰胆管造影治疗胆石症的取石成功率高,对患者身体伤害小,临床应用价值高。Objective To observe the clinical efficacy of laparoscopic stone surgery combined with endoscopic retrograde cholangiopancreatography in the treatment of cholelithiasis. Methods One hundred cases of cholelithiasis patients with LC＋ ERCP treatment were selected as study group, another 100 cases of patients treated with conventional open surgery were as control group. The operation situation and success rate of stone removal in the two groups were compared. Results The incision length, blood loss, hospital stay of the study group were significantly better than those of the control group （P〈 0.01）; the stone removal success rate of the study group was 93%, which was higer than 88% of the control group （P〉0.05）. Conclusion Laparoscopic lithotomy joint endoscopic retrograde cholangiopancreatography in the treatment of cholelithiasis has higher success rate, less bodily harm, and higher clinical value.

关 键 词：腹腔镜取石术 内镜逆行胰胆管造影 胆石症 

分 类 号：R657.4[医药卫生—外科学]