硬质胆囊镜保胆取胆囊颈及胆囊管嵌顿结石85例 |
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引用本文: | 王小锋,乔铁,冯禹阳,王兴强,黄毅敏,王刚.硬质胆囊镜保胆取胆囊颈及胆囊管嵌顿结石85例[J].中华普外科手术学杂志(电子版),2010,4(4):39-41. |
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作者姓名: | 王小锋 乔铁 冯禹阳 王兴强 黄毅敏 王刚 |
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作者单位: | 广州市番禺区第二人民医院微创中心,广州,511470 |
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摘 要: | 目的探讨硬质胆囊镜微创保留胆囊治疗胆囊颈(管)嵌顿结石的可行性。方法使用硬质胆囊镜进行微创保留胆囊治疗胆囊结石患者704例,其中胆囊颈(管)嵌顿结石85例为嵌顿组,并与胆囊非嵌顿结石患者中随机抽取的92例作为非嵌顿组进行比较。结果两组患者均手术成功,全组病例均未行胆囊造瘘,随访3~25个月,两组患者恢复良好。嵌顿组手术时间(81.67±38.59)min,胆囊壁厚度(0.38±0.09)mm明显较非嵌顿组高,差异具有显著统计学意义(P0.01);非嵌顿组多发性结石比例(72.8%)较嵌顿组(70.6%)高,差异具有统计学意义(P0.05);非嵌顿组并发胆囊息肉32.6%、合并胆囊壁间结石38.0%明显较嵌顿组(8.2%,16.5%)高,差异具有显著统计学意义(P0.01);术中平均出血量、住院时间、术后结石复发率组间对比差异无统计学意义。结论硬质胆囊镜微创保留胆囊治疗胆囊颈(管)嵌顿结石和探查胆囊管安全、高效、可行。
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关 键 词: | 外科手术 微创性 内窥镜检查 胆囊结石病 复发 |
Rigid cholecystoscope in management of stone incarceration in the neck of the gallbladder without cholecystectomy: report of 85 cases |
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Authors: | WANG Xiao-feng QIAO Tie FENG Yu-yang WANG Xing-qiang HUANG Yi-min WANG Gang |
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Institution: | WANG Xiao-feng,QIAO Tie,FENG Yu-yang,WANG Xing-qiang,HUANG Yi-min,WANG Gang.Minimally Invasive Center of People`s Hospital of Dagang Town Panyu Region of Guangzhou,Guangzhou,511470,China |
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Abstract: | Objective To investigate the feasibility of treatment for stone incarcerated in gallbladder neck(cystic duct)using a rigid cholecystoscope without cholecystectomy.Methods During November 2007 to December 2009,the clinical data of 704 patients who had undergone minimally invasive surgery using a rigid cholecystoscope to treat cholecystolithiasis without cholecystectomy were analyzed retrospectively.Eight-five patients with incarceration in the neck of the gallbladder(cystic duct)were included in incarceratio... |
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Keywords: | Surgical procedures minimally invasive Endoscopy Cholecystolithiasis Recurrence |
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