CAJ | 학술논문

目的探讨腹腔镜下经胆囊管胆道镜取石治疗胆囊结石合并胆总管继发微小结石的疗效及临床价值。方法对2009年10月~2013年10月攀枝花市十九”医院肝胆胰外科32例胆囊结石合并胆总管继发微小结石的患者，行腹腔镜胆囊切除术后经胆囊管胆道镜取石治疗胆总管继发结石，观察其临床效果。结果32例均顺利完成经胆囊管胆道镜取石，所有患者均放置温氏孔引流管，未放置T管，术后2~4d拔除，术后平均住院时间5d。术后对所有患者跟踪随访3月，无漏胆、结石残余、胆道感染等并发症发生。结论腹腔镜下经胆囊管胆道镜取石治疗胆囊结石合并胆总管继发微小结石，避免了传统胆总管切开取石需放置T管引流，具有创伤小、恢复快、安全等优点，是治疗胆囊结石合并胆总管继发微小结石的理想术式，具有较高的临床应用价值。
목적탐토복강경하경담낭관담도경취석치료담낭결석합병담총관계발미소결석적료효급림상개치。방법대2009년10월~2013년10월반지화시십구”의원간담이외과32례담낭결석합병담총관계발미소결석적환자，행복강경담낭절제술후경담낭관담도경취석치료담총관계발결석，관찰기림상효과。결과32례균순리완성경담낭관담도경취석，소유환자균방치온씨공인류관，미방치T관，술후2~4d발제，술후평균주원시간5d。술후대소유환자근종수방3월，무루담、결석잔여、담도감염등병발증발생。결론복강경하경담낭관담도경취석치료담낭결석합병담총관계발미소결석，피면료전통담총관절개취석수방치T관인류，구유창상소、회복쾌、안전등우점，시치료담낭결석합병담총관계발미소결석적이상술식，구유교고적림상응용개치。
Objective To investigate the laparoscopic via the cystic duct choledochoscope lithotomy treatment the curative ef ect of gal bladder stone with secondary smal common bile duct calculi and its clinical value.Methods Iin October 2009 to October 2013, mr.zhang 19 smelting hospital GanDanYi surgical 32 cases of gal bladder stone with secondary smal common bile duct calculi patients, line after laparoscopic cholecystectomy via the cystic duct choledochoscope treat secondary bravery manager stone stone, observe its clinical ef ect.Results 32 cases were successfully completed by the cystic duct biliary lithotomy lens, al patients were placed its hole drainage tube, not to place the T tube, out after 2 ~ 4 days, the average hospitalization time after 5 days. On al of the patients after 3 months fol ow-up, no residual bile leakage, calculi, biliary complications such as infection.Conclusion Laparoscopic cystic duct choledochoscope lithotomy treatment of gal bladder stone with secondary smal common bile duct calculi, avoid the traditional cut take bravery manager stone need to put the T tube drainage, has the advantages of smal trauma, rapid recovery, security, is the treatment of gal bladder stone with secondary small common bile duct calculi surgery, has high clinical value.