| 陈武.腹腔镜联合胆道镜治疗胆囊结石并胆总管结石的临床疗效[J].安徽医药,2018,22(4):629-630. |
| 腹腔镜联合胆道镜治疗胆囊结石并胆总管结石的临床疗效 |
| Clinical efficacy of laparoscopy combined with choledochoscopy in treatment of cholecystolithiasis complicated with choledocholithiasis |
| 投稿时间：2017-05-06 |
| DOI： |
| 中文关键词: 腹腔镜 胆道镜 胆囊结石 胆总管结石 |
| 英文关键词: laparoscopy choledochoscopy gallbladder stone common bile duct stone |
| 基金项目: |
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| 中文摘要: |
| 目的 研究腹腔镜联合胆道镜治疗胆囊结石并胆总管结石的临床疗效,为临床诊疗提供依据。方法 选取2015年12月—2017年3月该院收治的胆囊结石并胆总管结石患者140例,根据手术方式将患者分为研究组和对照组,对照组给予开腹胆囊切除联合胆总管取石,研究组给予腹腔镜胆囊切除联合胆道镜胆总管探查,比较两组手术情况和并发症发生情况。结果 研究组手术时间、肛门排气时间、住院时间短于对照组,术中出血量少于对照组,差异有统计学意义(P＜0.05)；研究组胆漏及结石复发的发生率明显低于对照组,差异有统计学意义(P＜0.05)。结论 腹腔镜联合胆道镜治疗胆囊结石并胆总管结石效果较好,手术并发症较少。 |
| 英文摘要: |
| Objective To study the clinical efficacy of laparoscopy combined with choledochoscopy in treatment of cholecystolithiasis complicated with choledocholithiasis. Methods 140 patients with cholecystolithiasis and choledocholithiasis from December 2015 to March 2017in our hospital were selected,whichwere divided into the study group and control group according to the operation mode.The control group were treated with open cholecystectomy combined with common bile duct stones.The study group weregiven laparoscopic cholecystectomy combined with choledochoscopy and the operation and complications were compared between the two groups. Results The operation time,anal exhaust time,hospitalization time in the study group were shorter than those in the control group.The amount of bleeding in the study group was less than that in the control group,with statistically significantdifference(P<0.05).The incidence of bile leakage,bile duct infection,pancreatitis and recurrence in the study group weresignificantly lower than that in the control group,part of the difference was statistically significant(P<0.05). Conclusions Laparoscopy combined with choledochoscopy in treatment of cholecystolithiasis and choledocholithiasis,has fewer surgical complications. |
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