摘要
目的探讨三镜联合微创治疗胆囊结石合并胆总管结石的临床价值。方法回顾性分析51例三镜联合微创治疗胆囊结石合并胆总管结石患者(观察组)的临床资料,并与65例实施腹腔镜下胆总管切开取石并T管引流术患者(对照组)的临床资料进行对照。结果两组均成功完成手术,三镜联合微创术在胆汁丢失量、术后补液量、住院天数等方面明显优于对照组(P<0.05),两组并发症发生率无明显差异(P>0.05)。术后随访,均未发现胆道狭窄或胆总管复发结石等异常。结论与传统腹腔镜术相比,三镜联合微创术治疗胆囊结合合并胆总管结石具有创伤小、痛苦轻、恢复快、符合生理、并发症少等优点。
Objective To explore the clinical value of combined three endoscopcs in treating common bile duct stone complicated with cholecystolithiasis. Methods Clinical data of 51 patients with bile duct stone and cholecystolithiasis underwent combined three endoscopes common （observation group） were analyzed retrospectively, and compared with those of 65 patients of control group underwent laparoscopic stone exclusion through the open common bile duct and T tube draining. Results Both groups were completely successful. The observation group was obviously super to the control group in bile loss amount ,postoperative fluid replacement amount ,and hospital day（ all P 〈 0.05 ）. There was no significant difference in complication rate（ P 〉0. 05 ）. All patients were not found with biliary tract narrow and common bile duct stone during the follow-up. Conclusions Combined three endoseopes have the advantages of less damage,less pain, quicker recovery,more fitting physiological functions, and fewer complication compared with the traditional laparoscope in treating common bile duct stone complicated with cholecystolithiasis.
出处
《微创医学》
2009年第5期474-476,共3页
Journal of Minimally Invasive Medicine
关键词
腹腔镜
内镜
胆总管结石
胆囊结石
Laparoscopy
Endoscopy
Common bile duct stone
Cholecystolithiasis
