CAJ | 학술논문

目的：总结十二指肠镜联合腹腔镜（两镜）治疗胆囊结石合并胆总管结石患者的经验。方法选择2008年11月至2011年10月鄂尔多斯市中心医院收治的胆囊结石合并胆总管结石患者25例，均首先行内镜逆行胰胆管造影（ERCP）＋十二指肠镜乳头括约肌切开（EST），之后行腹腔镜胆囊切除术（ LC），统计两镜联合治疗效果。结果两镜联合取石成功率为96％，随访7～20个月，未见胆总管结石残留和胆管炎发生。结论 ERCP＋EST 后行 LC 是治疗胆囊结石合并胆总管结石的可靠方法，患者恢复快，避免了胆总管切开及T管引流，临床应用价值高，值得推广。
목적：총결십이지장경연합복강경（량경）치료담낭결석합병담총관결석환자적경험。방법선택2008년11월지2011년10월악이다사시중심의원수치적담낭결석합병담총관결석환자25례，균수선행내경역행이담관조영（ERCP）＋십이지장경유두괄약기절개（EST），지후행복강경담낭절제술（ LC），통계량경연합치료효과。결과량경연합취석성공솔위96％，수방7～20개월，미견담총관결석잔류화담관염발생。결론 ERCP＋EST 후행 LC 시치료담낭결석합병담총관결석적가고방법，환자회복쾌，피면료담총관절개급T관인류，림상응용개치고，치득추엄。
Objective To summarize experiences in treating cholecystolithiasis and choledocholithiasis patients with duodenal endoscopy and laparoscopy.Methods Choice tweenty five cases of patients with gall-bladder and bile duct stones treatment from November 2008 to October 2011,sample patients treated firstly with endoscopic retrograde cholangiopancreatography ( ERCP) and endoscopic papilla sphincterotomy ( EST) before doing laparoscopic cholecystectomy ( LC) .The statistical results of combined treatment of two mirror Results Combined two endoscopes in success rate of stone removal was 96﹪.Patients were followed up for 7-20 months,no residual common bile duct stones and cholangitis .Conclusion ERCP+EST with LC is re-liable treatment for patients with gallstones and bile duct stones ,which can provide better and quicker recov-ery avoid performing common bile duct surgery and the "T"tube drainage.There fore,it is worth to be im-plemented widely due to its high clinical value .