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腹腔镜联合十二指肠镜术中同步治疗胆囊结石合并急性胆道梗阻的疗效分析
引用本文:欧阳红飞,焦伟华,吉成岗,林树文.腹腔镜联合十二指肠镜术中同步治疗胆囊结石合并急性胆道梗阻的疗效分析[J].中国内镜杂志,2011,17(9).
作者姓名:欧阳红飞  焦伟华  吉成岗  林树文
作者单位:广东省东莞市太平人民医院普外科,广东东莞,523900
摘    要:目的 探讨腹腔镜联合术中十二指肠镜同步治疗胆囊结石合并急性胆道梗阻的临床治疗效果.方法 实验组:30例胆囊结石合并急性胆道梗阻患者采用腹腔镜联合术中十二指肠镜同步治疗,对照组:30例同类患者行传统开腹胆囊切除+胆总管切开(胆道镜)取石+T管引流术;对两组患者手术时间,术后胃肠道恢复时间,所需总治疗时间,术后并发症(胆漏、胆道结石残留、胆道感染)发生情况进行统计分析.结果 在整个治疗过程中,实验组所需治疗时间明显小于对照组,术后出现胆道结石残留、胆道感染情况,两组差异有显著性(P<0.05).结论 采用腹腔镜联合术中十二指肠镜同步法治疗胆囊结石合并急性胆道梗阻住院时间短、恢复快、术后并发症少,有推广普及价值.

关 键 词:腹腔镜  十二指肠镜  同步治疗  胆囊结石  胆道梗阻

Synchronous treatment of laparoscopy plus intra-operative duodenoscopy for the patients with cholecystolithiasis combined acute biliary duct obstruction
OUYANG Hong-fei , JIAO Wei-hua , JI Cheng-gang , LIN Shu-wen.Synchronous treatment of laparoscopy plus intra-operative duodenoscopy for the patients with cholecystolithiasis combined acute biliary duct obstruction[J].China Journal of Endoscopy,2011,17(9).
Authors:OUYANG Hong-fei  JIAO Wei-hua  JI Cheng-gang  LIN Shu-wen
Institution:OUYANG Hong-fei,JIAO Wei-hua,JI Cheng-gang,LIN Shu-wen(Department of General Surgery,Taiping People's Hospital,Dongguan,Guangdong 523900,P.R.China)
Abstract:Objective] To explore the clinical curative effect of synchronous treatment with laparoscopy union intra-operative duodenoscopy in patients with cholecystolithiasis merged acute biliary duct obstruction.Methods] The experiment group of 30 examples cholecystolithiasis merge acute biliary duct obstruction patients use the synchronous treatment with laparoscopy union intra-operative duodenoscopy;The control group of 30 examples used the common cholecystectomy and choledocholithotomy T-tube drainage to carry ...
Keywords:laparoscopy  duodenoscopy  synchronous treatment  cholecystolithiasis  biliary duct obstruction  
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