腹腔镜内窥镜治疗胆囊结石合并胆总管结石两种术式的临床效果观察  

Clinical Observation of Two Kinds of Operative Methods for the Treatment of Gallbladder Stone With Common Bile Duct Stones

作　　者：国强[1] 周勇慧[1] 

机构地区：[1]包头医学院第一附属医院普外二科,内蒙古包头014010

出　　处：《中国继续医学教育》2016年第32期139-141,共3页China Continuing Medical Education

摘　　要：目的 研究LC＋LCBDE（腹腔镜下胆囊切除术＋腹腔镜胆总管探查取石术）与EST＋LC（内镜下乳头括约肌切开取石术＋腹腔镜下胆囊切除术）这两种不同术式治疗胆囊结石合并胆总管结石的临床效果。方法 采用随机方式将2015年5月-2016年7月我院收治的胆囊结石合并胆总管结石患者68例,将其随机分为两组,每组各34例。其中对照组采用EST＋LC治疗,观察组给予LC＋LCBDE治疗。观察两组患者的手术时间、住院时间及费用,对比手术成功率、不良反应发生率情况。结果 观察组患者的手术时间、住院时间及费用均优于对照组（P〈0.05）;两组患者的手术成功率及不良反应发生率对比,差异无统计学意义（P〉0.05）。结论 对于胆囊结石合并胆总管结石采取LC＋LCBDE进行治疗,安全有效,且住院时间和住院费用较少,可作为临床上首选。Objective To study the LC＋LCBDE （laparoscopic cholecystectomy and laparoscopic common bile duct exploration） EST＋LC （endoscopic sphincterotomy ＋ laparoscopic cholecystectomy） clinical effect of two kinds of different surgical treatment of cholecystolithiasis.Methods 68 cases of gallbladder stone complicated with common bile duct stones were treated in our hospital from May 2015 to July 2016 were randomly divided into two groups, 34 cases in each group. The control group was treated with EST＋LC. The observation group was treated with LC＋LCBDE. The operation time of two groups were observed, hospitalization time and cost, the success rate and incidence rate of adverse reactions were compared.ResultsThe operation time, length of stay and cost of the observation group were better than those of the control group （P〈 0.05）. There was no signiifcant difference in the success rate of operation and the incidence of adverse reactions between two groups （P 〉 0.05）.Conclusion LC＋LCBDE for the treatment of gallbladder stone with common bile duct stones, safe and effective, hospital stay and hospital costs less, which can be used as the ifrst choice for clinical.

关 键 词：腹腔镜 胆囊结石 胆总管结石 临床效果 

分 类 号：R657.4[医药卫生—外科学]