腹腔镜胆囊切除联合胆总管探查治疗胆囊并胆总管结石的临床研究
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胡海 E-mail:xiongmao7301@yahoo.cn

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Clinical research of gallbladder and common bile duct stones treated by LC and LCBDE
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    摘要:

    目的:探讨腹腔镜胆囊切除(LC)联合胆总管探查治疗胆囊合并胆总管结石的临床效果。
    方法:选择3年间治疗的胆总管合并胆囊结石患者132例,随机分为观察组和对照组,观察组采用LC+胆总管探查(LCBDE)治疗,对照组采用LC+内镜下括约肌切开胆管内结石(EST)治疗,比较两组患者的手术成功率、术后并发症发生率、残余结石率等指标。
    结果:观察组手术成功率为97.22%,与对照组(96.67%)比较无统计学差异(P>0.05);观察组术后并发症发生率为1.39%,残余结石率为2.78%,均显著低于对照组(分别为3%及8.33%,均P<0.01)。
    结论:LC联合胆总管探查治疗胆囊合并胆总管结石不仅手术成功率与LC+EST相当,而且具有并发症少,安全性高及残余结石率低的优点。

    Abstract:

    Objective: To explore the clinical effect of gallbladder and common bile duct stones treated by Laparoscopic Cholecystectomy(LC) and common bile duct exploration(LCBDE).
    Methods: One hundred and thirty-two cases of gallbladder and common bile duct stones were divided into LC+LCBDE group(n=72) and LC + EST control group(n=60) randomly according to the treatment mothods. The clinical date of 2 groups was compared with the rate of success of operation, incidence of postoperative complications, incidence of residual calculus, time of defecation after operation.
    Results: There were no statistical difference of the rate of success operation between LC+LCBDE group and EST+LC group(P>0.05),but incidence of postoperative complications and residual calculus in LC+LCBDE group were  significant lower than those in LC+EST group.
    Conclusions: Combining  LC with LCBDE is a feasible treatment for cholecystolithiasis and choledocholithiasis.

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戴国清| 胡海.腹腔镜胆囊切除联合胆总管探查治疗胆囊并胆总管结石的临床研究[J].中国普通外科杂志,2010,19(8):843-845.
DOI:10.7659/j. issn.1005-6947.2010.08.001

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  • 收稿日期:2010-04-28
  • 最后修改日期:2010-07-13
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  • 在线发布日期: 2010-08-15