| 黄书明 陈圣开 樊大明 张涛 李剑波.三镜联合手术方案治疗胆道结石患者的临床疗效及预后情况分析[J].,2015,15(24):4699-4701 |
| 三镜联合手术方案治疗胆道结石患者的临床疗效及预后情况分析 |
| Clinical Effect of Operation Scheme of Combined Three Endoscopes forExtrahepatic Bile Duct Calculus |
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| 中文关键词: 三镜联合手术方案 肝外胆道结石 临床疗效 预后情况 分析 |
| 英文关键词: Combined three endoscopes Extrahepatic bile duct calculus Clinical effect Prognosis Analysis |
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| 中文摘要: |
| 目的：研究三镜联合手术方案治疗肝外胆道结石患者的临床疗效及预后情况分析。方法：选择从1999 年5 月至2014 年5
月在我院接受治疗的肝外胆道结石患者300 例进行回顾性分析。所有患者均接受三镜联合手术方案治疗，290 例患者成功接受手
术，其中先行经内镜十二指肠乳头造影/ 切开术（ERCP/EST）,然后行腹腔镜胆囊切除术（LC）（先ERCP/EST 后LC 组）103 例，先
行LC，然后行ERCP/EST（先LC 后ERCP/EST 组）73 例，同时行LC 和ERCP/EST（LC 与ERCP/EST 同时组）114 例。分析患者整
体手术情况，对比各组手术相关指标、结石取出情况及并发症。结果：300 例患者中，10 例因结石过大、缩窄乳头炎、出血及怀疑胆
囊癌因素中转开腹。三组手术时间、术中出血量、住院时间与住院费用指标相比，差异均无统计学意义（均P＞0.05）,成功取出结石
率及并发症发生率三组相比，差异均无统计学意义（均P＞0.05）。结论：通过不同手术顺序的三镜联合手术方案治疗肝外胆道结
石，临床疗效及患者的预后情况均较好，值得在临床推广应用。 |
| 英文摘要: |
| Objective:To study the clinical effect and prognosis of combined three endoscopes in the treatment of extrahepatic bile
duct calculus.Methods:A total of 300 patients with extrahepatic bile duct calculus (EBDC), who were treated in Chongqing Third
People's Hospital fromMay 1999 to May 2014, were selected and retrospectively analyzed. All the patients with EBDC were treated with
combined three endoscopes, there were 290 cases of successful surgery, among which 103 patients first underwent endoscopic retrograde
cholangio-pancreatography/endoscopic sphincterotomy (ERCP/EST) and then laparoscopic cholecystectomy (LC)( group I); 73 patients
first LC and then ERCP/EST (group II); 114 patients, LC together with ERCP/EST (group III). The surgery status, the related surgery
indexes, calculus removal, and complication of the three groups were analyzed and compared.Results:Among the 300 patients, there
were 10 patients were transfered to laparotomy surgery due to the too big calculus, constrictive nipple papillitis, bleeding and suspected
gallbladder carcinoma. There were no significant differences in surgery time and intraoperative bleeding loss, hospitalization time and
hospitalization expenses, successful calculus removal rate, and incidence of complication among the three groups (P>0.05).Conclusion:The operation scheme of combined three endoscopes for extrahepatic bile duct calculus has better clinical effects and prognosis, which is
worthy popularizing in the clinical application. |
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