摘要
目的探讨腹腔镜联合胆道镜下液电碎石治疗肝内胆管结石的疗效及临床应用价值。方法对43例适合腹腔镜手术的肝内胆管结石患者行腹腔镜联合胆道镜下液电碎石治疗,对照组43例行传统开腹手术联合胆道镜下液电碎石术,并比较两组的临床效果。结果两组患者手术均获得成功,成功率为100%,观察组的手术时间、术中出血量、住院时间与对照组相比较差异有统计学意义(P<0.05),两组的结石清除率及并发症发生率相比则无明显差异(P>0.05)。结论腹腔镜联合胆道镜下液电碎石术治疗肝内胆管结石是一种微创、恢复快、安全可靠、效果确切的理想方法。
Objective To discuss the efficacy and clinical value of the electro hydraulic lithotripsy with laparoscopic combined with choledochoscope treatment for the intrahepatic bile duct multiple stones. Methods The electro hydraulic lithotripsy with laparoscopic combined with choledochoscope treatment for 43 patients with the intrahepatic bile duct multiple stones, and which fit the laparoscopic, 43 patients in the control group were treated by traditional laparotomy combined with biliary endoscopic electro hydraulic lithotripsy, and then compared the effects of the two groups. Results All the patients had been successful, the success rate was 100 %, the operative time, blood loss and hospital stay in the observation group had different statistical significance （ P 〈 0. 05 ）, stone clearance rate and the complication rate of the two groups had no difference （ P 〉 0. 05 ）. Conclusions The laparoscopy combined with biliary endoscopic electro hydraulic lithotripsy is a minimally invasive treatment of intrahepatic bile duct stones, faster recovery, safe and reliable, is the ideal method with the exact effect.
出处
《齐齐哈尔医学院学报》
2013年第1期19-20,共2页
Journal of Qiqihar Medical University
关键词
肝内胆管结石
腹腔镜
胆道镜
Hepatolithiasis
Laparoscopic
Choledochoscope
