| 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].现代生物医学进展英文版,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 |
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| 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） |
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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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