世界最新医学信息文摘（电子版）
世界最新醫學信息文摘（電子版）
세계최신의학신식문적（전자판）
World Latest Medicine Information
2013年
5期
48-49
,共2页
腹腔镜胆道镜联合%保胆取石%对比分析
腹腔鏡膽道鏡聯閤%保膽取石%對比分析
복강경담도경연합%보담취석%대비분석
combined laparoscopic and choledochoscopic%cholecystolithiasis%gallballer stone
目的探讨腹腔镜胆道镜联合保胆取石术在治疗单发与多发结石的对比及临床效果。方法对2010年3月至2012年9月我院行腹腔镜胆道镜联合保胆取石术随机抽取68例临床资料进行回顾性分析及随访。结果68例患者行腹腔镜胆道镜联合保胆取石手术顺利，单发结石平均手术时间(50．4±10.6)min，平均住院时间(6.0±1.5)d，多发结石平均手术时间(70．4±20.5)min，平均住院时间(7.0±1.0)d，两种手术时间P ＜0.05，住院时间P ＞0.05；两组均无术后发热、胆漏、胆道出血、腹腔积液，腹膜炎及切口感染等并发症。随访6-36个月，多发胆囊结石病例组3例有胆囊内泥沙样结石合并胆囊壁增厚，1例胆囊内多发小结石。单纯胆囊结石组未见结石复发。无明显自觉不适，胆囊收缩功能良好。结论腹腔镜胆道镜联合保胆取石术在治疗单发胆囊结石方面可能更具有临床效果。
目的探討腹腔鏡膽道鏡聯閤保膽取石術在治療單髮與多髮結石的對比及臨床效果。方法對2010年3月至2012年9月我院行腹腔鏡膽道鏡聯閤保膽取石術隨機抽取68例臨床資料進行迴顧性分析及隨訪。結果68例患者行腹腔鏡膽道鏡聯閤保膽取石手術順利，單髮結石平均手術時間(50．4±10.6)min，平均住院時間(6.0±1.5)d，多髮結石平均手術時間(70．4±20.5)min，平均住院時間(7.0±1.0)d，兩種手術時間P ＜0.05，住院時間P ＞0.05；兩組均無術後髮熱、膽漏、膽道齣血、腹腔積液，腹膜炎及切口感染等併髮癥。隨訪6-36箇月，多髮膽囊結石病例組3例有膽囊內泥沙樣結石閤併膽囊壁增厚，1例膽囊內多髮小結石。單純膽囊結石組未見結石複髮。無明顯自覺不適，膽囊收縮功能良好。結論腹腔鏡膽道鏡聯閤保膽取石術在治療單髮膽囊結石方麵可能更具有臨床效果。
목적탐토복강경담도경연합보담취석술재치료단발여다발결석적대비급림상효과。방법대2010년3월지2012년9월아원행복강경담도경연합보담취석술수궤추취68례림상자료진행회고성분석급수방。결과68례환자행복강경담도경연합보담취석수술순리，단발결석평균수술시간(50．4±10.6)min，평균주원시간(6.0±1.5)d，다발결석평균수술시간(70．4±20.5)min，평균주원시간(7.0±1.0)d，량충수술시간P ＜0.05，주원시간P ＞0.05；량조균무술후발열、담루、담도출혈、복강적액，복막염급절구감염등병발증。수방6-36개월，다발담낭결석병례조3례유담낭내니사양결석합병담낭벽증후，1례담낭내다발소결석。단순담낭결석조미견결석복발。무명현자각불괄，담낭수축공능량호。결론복강경담도경연합보담취석술재치료단발담낭결석방면가능경구유림상효과。
Objective To explore clinical effect combined laparoscopic and choledochoscopic in treatment of single and multiple cholecystolithiasis.MethodsThe data from 68 patients with gall-preserving lithotomy who were treated by combined laparoscopic and choledochoscopic for single and multiple cholecystolithiasis were retrospectively analysed and follow-up.ResultsIn 68 patients, combined smoothly had been successfully treated by laparoscopic and cholangioscopic cholecystolithotomy operation for treatment of single and multiple gallbladder stones . the average operation time of single stone was (50.4 ± 10.6) min, the average hospital stay was (6 ± 1.5) d, the average operation of multiple stones time was (70.4 ± 20.5) min, the average hospital stay was (7 ± 1) d, Comparative two kinds of operation time, P<0.05, however,hospital stay, P>0.05;there were no fever, bile leakage, biliary tract bleeding, abdominal effusion, peritonitis and incision infection and other complications in two groups of postoperation. Follow-up of 6-36 months, there were 3 cases with gallbladder wall thickening with sediment samples of gallbladder stones in multiple gallbladder stones group, 1 cases of gallbladder lesser stones. Group of single gallstone showed no recurrence of calculi. no obvious discomfort, gallbladder function was normal.[Conclusions] Combined laparoscopic and cholangioscopic cholecystolithotomy for patients of single gallballer stone may have better clinical effect than patients of multiple stones.
