胆总管结石并胆囊结石ERCP术后行LC时间选择的研究  

Study of time selection for treatment of choledocholithiasis and cholecystolithiasis with laparoscopic cholecystectomy after endoscopic retrograde cholangiopancreatography

作　　者：李星月[1] 申安[1] 孙银贵[1] 赵典朋[1] 李世平[1] LI Xing-yue;SHEN An;SUN Yin-gui;ZHAO Dian-peng;LI Shi-ping(Department of Hepatobiliary and Pancreatic Surgery,Affiliated Hospital of Weifang Medical University（Shandong 261300,China)

机构地区：[1]潍坊医学院附属医院肝胆胰外科,山东潍坊261300

出　　处：《中国现代普通外科进展》2018年第4期276-278,共3页Chinese Journal of Current Advances in General Surgery

摘　　要：目的:探讨经内镜逆行胰胆管造影加取石术(ERCP)术后行LC治疗胆总管结石并胆囊结石时间选择。方法:2014年10月—2017年2月,行ERCP术后联合LC治疗胆总管结石合并胆囊结石患者158例,按照ERCP术后行LC间隔时间差异不同分为ERCP术后限期行LC组(104例)及ERCP术后择期LC手术组(54例)。前者ERCP术后24~72 h行LC,后者ERCP术后出院3个月后行LC,比较两组的临床疗效、LC手术时间、出血、胆囊结石排入胆管内、再发胆囊炎、胆漏、住院时间、平均ERCP次数、医疗费。结果:两组术后均治愈。术后择期行LC住院时间长、医疗费多。结论:ERCP术后限期行LC组治疗胆总管结石并胆囊结石手术安全性好、医疗费少、住院时间短、患者恢复快。Objective： Clinical study in the treatment of common bile duct stones combined with ERCP and EST. Methods： the October 2014-2017 year in February for hepatobiliary surgery in our hospital after ERCP combined with LC in the treatment of patients with cholecystolithiasis and choledocholithiasis in 158 cases. According to ERCP postoperative LC interval difference divided into ERCP definite operation LC group（104 cases） and ERCP Elective operation LC surgery group（54 cases）.The definite operation for ERCP LC group is LC line 24 h-72 h, another is the patients were givenLC for 3 months after ERCP. The clinical efficacy, LC operation time, hemorrhage, the gallstone is discharged into the bile duct,recurrent cholecystitis,bile leakage, length of stay and medical fee were compared between the two groups（ERCP definite operation LC group of single hospitalization time; ERCP Elective operation LC surgery group of two hospital hours together）, average ERCP times, medical expenses. Results： all of the two groups were cured after operation.length of sta is long and medical expensive which was selected a time to do（P 0.05）. Conclusion： ERCP definite operation of LC group in the treatment of common bile duct stones and gallbladder stones surgery is safe, less medical expenses, hospitalization time is short, patients recover quickly, the burden is small.

关 键 词：胰胆管造影 十二指肠乳头切开取石术 胆囊结石 胆囊切除 胆管结石 

分 类 号：R657.42[医药卫生—外科学]