| LC和EST联合治疗胆囊结石合并胆总管结石 |
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| 引用本文： | 张辉,常奇蒙,丁峻岭,周鸣,王学志. LC和EST联合治疗胆囊结石合并胆总管结石[J]. 河北医学, 2005, 11(12): 1070-1071 |
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| 作者姓名： | 张辉 常奇蒙 丁峻岭 周鸣 王学志 |
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| 作者单位： | 上海市长宁区中心医院外科,上海,200336;上海市长宁区中心医院外科,上海,200336;上海市长宁区中心医院外科,上海,200336;上海市长宁区中心医院外科,上海,200336;上海市长宁区中心医院外科,上海,200336 |
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| 摘 要： | 目的：评价腹腔镜胆囊切除术（laparoscopic cholecystectomy,LC）和内镜下Oddi括约肌切开取石术（endoscopic sphincterotomy,EST）联合治疗胆囊和胆管结石病的方法和价值.方法：对40例经B超或CT、MRCP检查证实为胆囊结石合并胆总管结石病人先行EST取石再行LC.结果：40例病人完成EST取石和39例病人完成LC,1例中转进腹,1例LC后经鼻胆管造影见结石残留后再次内镜取石.结论：联合应用LC和EST治疗胆囊结石合并胆总管结石是一种安全有效的治疗方法.
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| 关 键 词： | 胆结石 胆总管结石 腹腔镜胆囊切除术 内镜括约肌切开 |
| 文章编号： | 1006-6233（2005）12-1070-02 |
LC Combined with EST in Treating Cholecystolithiasis with Common Bile Duct Stones |
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| ZHANG Hui , CHANG Qi-meng , DING Jun-ling, et al. LC Combined with EST in Treating Cholecystolithiasis with Common Bile Duct Stones[J]. Hebei Medicine, 2005, 11(12): 1070-1071 |
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| Authors: | ZHANG Hui CHANG Qi-meng DING Jun-ling et al |
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| Abstract: | Objective: To evaluate the technique and value of the combination of laparoscopic cholecystestomy(LC) and endoscopic sphincterotomy(EST) in the treatment of cholecystolithiasis and common bile duct stones(CBD).Method: 40 patients diagnosed as cholecystolithiasis with common bile duct stones by B-ultrasonography or computer tomography(CT) and MRCP underwent LC following EST.Result: 40 cases of patients succeeded in EST,among which 39 cases underwent LC successfully,while one case was conversed to laparotomy.One case of residual stone comformed by nasol-biliary tract opacifiacion after LC accepted a second time endoscopic stone removement.Conclusion: Combination of laparoscopic and endoscopic procedure is a safe and effective method to treat the patients suffering from cholelith of the gallbladder and CBD. |
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| Keywords: | Cholelithiasis Common bile duct stones Laparoscopic cholecystestomy Endoscopic sphincterotomy |
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