腹腔镜联合十二指肠镜治疗胆囊结石合并肝外胆管结石的临床研究

发布时间：2018-03-13 16:34

本文选题：腹腔镜　切入点：十二指肠镜　出处：《影像研究与医学应用》2017年06期 　论文类型：期刊论文

【摘要】：目的:探讨腹腔镜联合十二指肠镜治疗胆囊结石合并肝胆外胆管结石的效果。方法:回顾性分析我院2010年5月至2015年5月收治的86例胆囊结石合并肝胆外胆管结石患者的资料,行开腹手术者41例作为甲组,行腹腔镜联合十二指肠镜手术者45例作为乙组,比较两组手术参数、术后并发症发生情况。结果:乙组患者在手术时间、术中出血量、术后排气时间、住院时间均明显优于甲组,且各参数组间比较差异有统计学意义(P0.05);甲组并发症发生率高于乙组,但是组间比较差异吴统计学意义(χ~2=0.02,P0.05)。结论:腹腔镜联合十二指肠镜治疗胆囊结石合并肝胆外胆管结石临床疗效满意,安全性高,值得在基层医院进一步推广应用。
[Abstract]:Objective: to investigate the effect of laparoscopy combined with duodenoscopy in the treatment of cholecystolithiasis with extrahepatic bile duct calculi. Methods: 86 cases of cholecystolithiasis complicated with extrahepatic bile duct calculi were retrospectively analyzed from May 2010 to May 2015 in our hospital. 41 patients underwent laparotomy as group A and 45 patients underwent laparoscopy combined with duodenoscopy as group B. the operative parameters and postoperative complications were compared between the two groups. Results: the time of operation and the amount of blood lost during operation were compared between the two groups. The postoperative exhaust time and hospital stay were significantly better than those in group A, and the difference between the two groups was statistically significant (P 0.05), the incidence of complications in group A was higher than that in group B, the incidence of complications in group A was higher than that in group B. But the difference between the two groups was statistically significant (蠂 ~ 2 / 0. 02 ~ 0. 02) P 0. 05. Conclusion: laparoscopic combined duodenoscopy has satisfactory clinical efficacy and high safety in the treatment of cholecystolithiasis with extrahepatic bile duct calculi, which is worthy of further popularizing and application in primary hospitals.
【作者单位】：阳煤集团第三医院普外科;
【分类号】：R657.42

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