摘要
目的:探讨腹腔镜联合经内镜逆行胰胆管造影(ERCP)或者胆道镜治疗胆囊结石、胆总管结石的临床效果,为微创治疗肝胆管结石提供理论依据。方法:将我院收治120例胆囊结石并胆总管结石患者依照双盲、随机数字法分为观察组、对照组(n=60例),对照组行ERCP术及腹腔镜胆囊切除术(LC),观察组行LC及腹腔镜下胆道切开取石术(LCBDE)。对两组患者的手术及术后治疗效果进行对比。结果:观察组患者术中出血量、术后肛门排气时间、下床活动时间与对照组相比较,差异无统计学意义(P>0.05);观察组住院时间短、费用低、并发症发生率低,与对照组相比较其差异有统计学意义(P<0.05)。结论:LC+LCBDE及LC+ERCP治疗胆囊结石并胆总管结石均具有创伤小、恢复快、并发症发生率低等优点,其中LC+LCBDE更体现微创优势,患者住院时间短、费用低廉更具有广阔的应用前景。
Objective：To investigate the combined laparoscopic and endoscopic retrograde cholangiopancreatography （ERCP） clinical effect or choledochoscopy in treatment of cholecystolithiasis,choledocholithiasis,provides the theory basis for minimally invasive treatment of bile duct stones.Methods：120 patients with cholecystolithiasis and choledocholithiasis patients in accordance with the double blind,were randomly divided into the observation group,the control group （n=60 cases）,the control group underwent ERCP surgery and laparoscopic cholecystectomy （LC）,the observation group underwent LC and laparoscopic biliary lithotomy （LCBDE）.Results：In the observation group,amount of bleeding,postoperative anal exhaust time,ambulation time compared with the control group,the difference was not statistically significant （P〉0.05）;observation group was shorter hospitalization time,low cost,low complication rate,there was statistical significance compared with control group,the difference （P〈0.05）.Conclusion：LC＋LCBDE and LC＋ERCP in treating cholecystolithiasis and choledocholithiasis with less trauma,quick recovery, low complication rate,LC＋LCBDE which reflect minimally invasive advantages,short time,low cost but also has broad application prospects in hospitalized patients.
出处
《中国医药导刊》
2013年第10期1578-1579,1581,共3页
Chinese Journal of Medicinal Guide
