| 腹腔镜联合纤维胆道镜治疗胆囊胆总管结石 |
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| 引用本文： | 傅侃达|秦长江|任学群. 腹腔镜联合纤维胆道镜治疗胆囊胆总管结石[J]. 中国普通外科杂志, 2010, 19(2): 128-131 |
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| 作者姓名： | 傅侃达|秦长江|任学群 |
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| 作者单位： | 河南大学淮河医院普通外科; |
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| 摘 要： | 目的探讨腹腔镜联合胆道镜治疗胆囊结石胆总管结石的效果。方法将2005年6月—2009年6月收治的168例胆囊结石合并胆总管结石患者,随机抽取90例行腹腔镜胆囊切除+胆总管切开+胆道镜探查、取石T管引流术(联合腹腔镜组),另78例行开腹胆囊切除+胆总管切开取石T管引流术(对照组),对比分析两组的临床效果。结果开腹组并发症发生率高于联合组(P0.05),联合组住院时间、胃肠功能恢复时间均短于对照组(P0.05),两组手术时间、住院费用差异无统计学意义(P0.05)。结论与传统开腹手术相比,用腹腔镜联合胆道镜治疗胆囊胆总管结石具有创伤小、恢复快、住院时间短等优点,优于传统开腹手术。
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| 关 键 词： | 胆结石/外科学； 腹腔镜； 胆道镜； 胆道探查术 |
| 收稿时间： | 2010-01-06 |
| 修稿时间： | 2010-01-22 |
Laparoscopic cholecystectomy combined with choledochoscopy in treatment of cholecystolithiasis and choledocholithiasis |
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| FU Kanda|QIN Changjiang|REN Xuequn. Laparoscopic cholecystectomy combined with choledochoscopy in treatment of cholecystolithiasis and choledocholithiasis[J]. Chinese Journal of General Surgery, 2010, 19(2): 128-131 |
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| Authors: | FU Kanda|QIN Changjiang|REN Xuequn |
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| Affiliation: | FU K,a,QIN Changjiang,REN Xuequn(Department of General Surgery,Huaihe Hospital,Henan University,Kaifeng,Henan 475000,China) |
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| Abstract: | Objective To investigate the value of laparoscopy combined with choledochoscopy in treatment of cholecystolithiasis complicated with choledocholithiasis.Methods Clinical data of 168 patients with cholecystolithiasis and choledocholithiasis treated in our haspital from June 2005 to June 2009 were analysed.Ninety patients were randomly selected and treated by laparoscopic cholecystectomy combined with choledocholithotomy and T-tube drainage (group A),the other 78 patients,as control group,underwent routine ch... |
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| Keywords: | Cholelithiasis/surg Laparoscopes Choledochoscopy Common Bile Duct Exploration |
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