腹腔镜胆囊切除术联合经十二指肠镜逆行胆胰管造影治疗复杂肝胆管结石临床效果分析  

Clinical effect of laparoscopic cholecystectomy combined with endoscopic retrograde cholangiopancreatography in the treatment of complicated hepatolithiasis

作　　者：王永平[1] 候勇 

机构地区：[1]云南省曲靖市第一人民医院普外科,655000

出　　处：《中国社区医师》2018年第3期68-68,70,共2页Chinese Community Doctors

摘　　要：目的:探讨腹腔镜胆囊切除术(LC)联合经十二指肠镜逆行胆胰管造影(ERCP)治疗复杂肝胆管结石临床效果及安全性。方法:收治复杂肝胆管结石患者61例,随机分为观察组和对照组。观察组采用LC联合ERCP治疗,对照组采用LC治疗,比较两组治疗效果。结果:观察组术中出血量、住院时间、首次肛门排气时间、术后出血、术后感染和结石残留发生率均显著优于对照组(P<0.05)。两组手术时间、中转开腹比例比较,差异无统计学意义(P>0.05)。结论:LC联合ERCP治疗复杂性肝胆管结石能降低并发症发生率、减少结石残留、提高患者预后质量。Objective:To explore the clinical effect and safety of laparoscopic cholecystectomy(LC) combined with endoscopic retrograde cholangiopancreatography(ERCP) in the treatment of complicated hepatolithiasis.Methods:61 patients with complicated hepatolithiasis were selected.They were randomly divided into the observation group and the control group.The observation group was treated with LC combined with ERCP,and the control group was treated with LC.We compared the treatment effect of two groups.Results:In the observation group,the intraoperative blood loss,hospitalization time,the first anal exhaust time,postoperative bleeding,postoperative infection and residual stone incidence were significantly lower than those in the control group(P<0.05).There was no significant difference in the operation time and proportion of conversion to laparotomy between groups(P>0.05).Conclusion:LC combined with ERCP in the treatment of complicated hepatolithiasis can reduce the incidence of complications,reduce the residual stones and improve the quality of prognosis.

关 键 词：复杂肝胆管结石 腹腔镜胆囊切除术 经十二指肠镜逆行胆胰管造影 

分 类 号：R657.43[医药卫生—外科学]