中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2011年
17期
2337-2338
,共2页
腹腔镜%胆道镜%胆总管结石%胆囊结石
腹腔鏡%膽道鏡%膽總管結石%膽囊結石
복강경%담도경%담총관결석%담낭결석
Choledocholithiasis%Laparoscopes%Choledochoscopy%Cholecystolithiasis
目的 探讨胆道镜联合腹腔镜手术治疗胆囊结石合并胆总管结石的临床效果。方法 胆囊结石合并胆总管结石患者104例，随机分为胆道镜联合腹腔镜手术组（EST+ LC组）和开腹手术组，观察两组的手术出血量、手术时间、胃肠功能恢复时间、住院时间等各项指标。结果 两组在手术出血量、胃肠功能恢复时间、住院时间及住院费用指标上存在明显差异，EST+ LC组胃肠功能恢复时间、住院时间均短于开腹手术组（均P＜0.05）。两组术后并发症发生率差异无统计学意义(P＞0.05)。结论 与开腹手术比较，胆道镜联合腹腔镜手术是安全有效的，具有术后恢复快、住院时间短的优点，为胆囊结石合并胆总管结石患者手术方式选择提供了一种新途径。
目的 探討膽道鏡聯閤腹腔鏡手術治療膽囊結石閤併膽總管結石的臨床效果。方法 膽囊結石閤併膽總管結石患者104例，隨機分為膽道鏡聯閤腹腔鏡手術組（EST+ LC組）和開腹手術組，觀察兩組的手術齣血量、手術時間、胃腸功能恢複時間、住院時間等各項指標。結果 兩組在手術齣血量、胃腸功能恢複時間、住院時間及住院費用指標上存在明顯差異，EST+ LC組胃腸功能恢複時間、住院時間均短于開腹手術組（均P＜0.05）。兩組術後併髮癥髮生率差異無統計學意義(P＞0.05)。結論 與開腹手術比較，膽道鏡聯閤腹腔鏡手術是安全有效的，具有術後恢複快、住院時間短的優點，為膽囊結石閤併膽總管結石患者手術方式選擇提供瞭一種新途徑。
목적 탐토담도경연합복강경수술치료담낭결석합병담총관결석적림상효과。방법 담낭결석합병담총관결석환자104례，수궤분위담도경연합복강경수술조（EST+ LC조）화개복수술조，관찰량조적수술출혈량、수술시간、위장공능회복시간、주원시간등각항지표。결과 량조재수술출혈량、위장공능회복시간、주원시간급주원비용지표상존재명현차이，EST+ LC조위장공능회복시간、주원시간균단우개복수술조（균P＜0.05）。량조술후병발증발생솔차이무통계학의의(P＞0.05)。결론 여개복수술비교，담도경연합복강경수술시안전유효적，구유술후회복쾌、주원시간단적우점，위담낭결석합병담총관결석환자수술방식선택제공료일충신도경。
Objective To investigate the effect of endoscopic sphincterotomy and laparoscopic cholecystectomy(EST + LC) for the treatment of choledocholithiasis complicated with cholecystolithiasis.Methods 104 patients were randomly divided into two groups : EST + LC group and open surgery group. The mean blood loss, the recovery of the stomach and intestines function, hospital stay, hospital cost and the rate of complications were observed. Results Compared with the open surgery group,the mean blood loss, the recovery of the stomach and intestines function,and hospital stay in EST + LC group had statistically significant difference( all P ＜ 0. 05 ). Compared with the open surgery group,the rate of complications in EST + LC group had no statistically significant difference(P ＞0. 05). Conclusion Compared with open surgery, EST + LC in treetment patients with choledocholithiasis combined with cholecystolithiasis was safe and effective, so it was worth to recommend its clinical use.
