| 内镜括约肌切开术联合腹腔镜胆囊切除术治疗胆囊结石合并胆总管结石的临床研究 |
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| 引用本文： | 宋越. 内镜括约肌切开术联合腹腔镜胆囊切除术治疗胆囊结石合并胆总管结石的临床研究[J]. 中国现代医药杂志, 2011, 13(7): 34-36 |
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| 作者姓名： | 宋越 |
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| 作者单位： | 广东省梅州市人民医院普外科,514031 |
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| 摘 要： | 目的探讨内镜括约肌切开术(EST)联合腹腔镜胆囊切除术(LC)治疗胆囊结石合并胆总管结石的临床效果。方法回顾性分析2009年2月～2010年12月行手术治疗的70例胆囊结石合并胆总管结石患者的临床资料,38例行EST+LC(微创组),32例行开腹胆囊切除+胆总管切开取石+T管引流术(OCHTD)(开腹组),记录手术情况、术后恢复情况、手术疗效及住院时间。结果微创组手术时间、术中出血量、肛门通气时间及术后住院时间显著低于开腹组,相比较有显著性差异(P<0.05)。两组均手术成功,微创组术后未发现残余结石,开腹组残余结石率为21.9%,两组相比较有显著性差异(P<0.05)。微创组并发症发生率显著低于开腹组(P<0.05)。结论 EST+LC优于传统开腹手术,其疗效确切、安全可靠,可作为治疗胆囊结石合并胆总管结石的主要方法。
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| 关 键 词： | 内镜括约肌切开术 腹腔镜胆囊切除术 胆囊结石 胆总管结石 |
Clinical research of EST and LC treatment for cholecystolithiasis with choledocholithiasis |
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| Song Yue. Clinical research of EST and LC treatment for cholecystolithiasis with choledocholithiasis[J]. Modern Medicine Journal of China, 2011, 13(7): 34-36 |
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| Authors: | Song Yue |
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| Affiliation: | Song Yue.General Surgery,Meizhou People's Hospital,Meizhou 514031 |
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| Abstract: | Objective To investigate the clinical effects of endoscopic sphincterotomy(EST) and laparoscopic cholecystectomy(LC) for cholecystolithiasis with choledocholithiasis.Methods The clinical data of 70 cases with both cholecystolithiasis with choledocholithiasis was retrospectively analyzed from Feb 2009 to Dec 2010,38 cases were given the treatment by EST and LC(minimally invasive group) and 32 cases were given the treatment by OCHTD(laparotomy group).After treatment the completion of surgery,postoperative rec... |
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| Keywords: | Endoscopic sphincterotomy Laparoscopic cholecystectomy Cholecystolithiasis Choledocholithiasis |
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