文章摘要
苏长岐 王健生 于良 王林 马林.腹腔镜下胆道镜经胆囊管行胆道探查取石术的临床分析[J].,2015,15(27):5348-5351
腹腔镜下胆道镜经胆囊管行胆道探查取石术的临床分析
ClinicalAnalysis ofLaparoscopic TranscysticCommonBileDuctExploration
  
DOI:
中文关键词: 胆道镜  腹腔镜  腹腔镜经胆囊管胆道探查取石术  胆囊结石合并胆总管结石
英文关键词: Choledochoscope  Laparoscopy  Laparoscoplc transcystic common bile duct exploration  Gallbladder and common bile duct stones
基金项目:陕西省卫生厅科研基金项目(2010H41)
作者单位
苏长岐 王健生 于良 王林 马林 陕西省扶风县人民医院西安交通大学第一附属医院陕西省宝鸡市中医医院 
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中文摘要:
      目的:探讨腹腔镜下胆道镜经胆囊管行胆道探查取石术(LTCBDE)的可行性以及安全性。方法:124 例胆囊合并胆总管结石 患者,根据手术方式分为LTCBDE 组和腹腔镜胆总管切开取石T管引流术(LCTD组),各62 例,比较两组的手术情况、疗效及安 全性。结果:LTCBDE 的手术时间、术后引流时间、肛门排气时间、术后住院时间及补液量较LCTD 组显著减少(P<0.05);LTCBDE 组并发症发生率及复发率分别为3.23%、1.61%,显著低于LCTD 组的20.97%、11.29%(P<0.05)。结论:LTCBDE 创伤小、患者痛 苦少、术后恢复快、并发症少且复发率低,是治疗胆囊结石合并胆总管结石的一种安全可行的微创治疗手段,值得在临床中推广 应用。
英文摘要:
      Objective:To evaluate the feasibility and safety of laparoscopic transcystic common bile duct exploration (LTCBDE).Methods:124 cases of patients with gallbladder and common bile duct stones were collected, and all were divided into LTCBDE group and laparoscopic choledocholithotomy T-tube drainage (LCTD group), 62 cases in each group. The operation situation, the efficacy and safety of the two groups were compared.Results:The operative time, postoperative drainage time, flatus time, postoperative hospital stay and the amount of fluid in LTCBDE group were significantly less than LCTD group (P<0.05);the incidence of complications and recurrence rates in LTCBDE group were 3.23%, 1.61%, significantly lower than the 20.97%, 11.29% in LCTD group (P<0.05).Conclusion:LTCBDE has small wound, less patient pain, faster postoperative recovery, fewer complications and lower recurrence rate, is a safe and feasible minimally invasive treatment for gallbladder and common bile duct stones, worthy of promotion in clinical applications.
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