两种术式治疗胆管结石患者的效果比较

Abstract
Figure/Table
References (19)
Related Citation (15)

Download: PDF (0 KB) HTML (33 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To study the effect of two surgical procedures in the treatment with calculus of bile duct.Methods A total of 56 patients with calculus of bile duct greater than 1.0 cm treated in our hospital from January 2013 to December 2017 were selected as subjects.They were divided into control group(28 cases)and observation group(28 cases)according to the double-blind randomization principle.The control group was treated with endoscopic retrograde pancreatography (ERCP)for stone removal in the Department of Gastroenterology.The observation group was treated with laparoscopic combined with choledochoscopy in the Department of General Surgery.The clinical effects,operation time,intraoperative blood loss,postoperative blood amylase,postoperative bleeding and incidence of pancreatitis,postoperative residual stones,postoperative pain,eating time,hospital stay,total incidence of postoperative complications were compared between the two groups.Results The total clinical effective rate of patients in the observation group was higher than that of the control group (P＜0.05).The operation time of patients in the observation group was longer than that of the control group,the intraoperative blood loss was less than that of the control group,the postoperative blood amylase was lower than the control group,and the differences were statistically significant(P＜0.05).The total incidence of postoperative complications in the observation group was lower than that in the control group,and the difference was statistically significant(P＜0.05).There was no significant difference in postoperative pain scores,eating time and hospitalization time between the two groups (P＞0.05).Conclusion Laparoscopic combined with choledochoscopy for the treatment of patients with calculus of bile duct greater than 1.0 cm is superior to ERCP,which can be used as the first choice for clinical treatment.

Key words： Laparoscopic Choledochoscopy Cholecystectomy Common bile duct exploration Endoscopic retrograde pancreatography

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	GAO Lü-lin

Cite this article:

GAO Lü-lin. Effect comparison of two surgical procedures in the treatment of calculus of bile duct[J]. 中国当代医药, 2019, 26(8): 52-54.

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2019/V26/I8/52

[1]	刘强，冯森.LC+胆总管探查术中胆道镜取石术与LC+内镜取石术治疗胆囊结石并胆总管结石的疗效比较[J].临床医学，2017，37（12）：74-76.
[2]	姚璜，王红玲，廖雯婓.经内镜逆行性胰胆管造影术取石后胆道结石复发的危险因素的Meta分析[J].临床消化病杂志，2017，29（1）：27-32.
[3]	李作安，张建民，钱长春，等.逆行胰胆管造影联合内镜与腹腔镜联合胆道镜治疗单纯胆总管结石的临床效果[J].中国医药导报，2016，13（28）：56-59.
[4]	程新生，缪丁丁，王欣，等.腹腔镜联合胆道镜治疗胆总管结石的疗效观察[J].临床普外科电子杂志，2017，5（1）：20-23.
[5]	刘宁.胆道镜联合腹腔镜对肝胆管结石的临床疗效分析[J].中外医学研究,2018，55（33）47-49.
[6]	王世超.腹腔镜下经胆囊管胆道镜胆总管探查取石手术方法及疗效初步研究[J].中外医疗，2016，35（14）：108-110.
[7]	史志平.腹腔镜联合胆道镜治疗胆囊合并胆总管结石的安全性探讨[J].白求恩医学杂志，2017，15（2）：230-231.
[8]	姜奕杨.胆道镜联合腹腔镜手术治疗原发性肝胆管结石疗效观察[J].中国现代医生，2017，55（36）：52-54.
[9]	王东芳，贾超，李景山.胆总管结石患者经内镜逆行胰胆管造影术前行超声内镜检查的应用价值分析[J].河南医学研究，2017，26（12）：2136-2138.
[10]	黄品谚，丁佑铭，汪斌.腹腔镜胆道镜治疗胆囊结石合并胆总管结石两种术式的疗效比较[J].临床外科杂志，2016，24（5）：369-371.
[11]	张明华，刘瑞文，陈健.腹腔镜胆囊切除术中运用胆道镜经胆囊管途径治疗胆总管结石[J].肝胆胰外科杂志，2016，28（4）：319-321.
[12]	余拥新.腹腔镜联合胆道镜治疗胆道结石的临床效果观察[J].检验医学，2016，31（B9）：242-243.
[13]	陈永标，池小斌，江艺.腹腔镜肝切除联合胆道镜治疗肝内外胆管结石 36 例[J].中国微创外科杂志，2016，16（9）：777-779.
[14]	郑树国.腹腔镜和机器人技术在肝胆管结石病治疗中的应用及评价[J].中国实用外科杂志，2016，36（3）：289-292.
[15]	温治强，宋越，张耀明.腹腔镜联合胆道镜、十二指肠镜治疗胆囊结石合并肝内外胆管结石的效果观察[J].临床肝胆病杂志，2016，32（6）：1145-1148.
[16]	赵云，杨成林，冯以斌.十二指肠镜联合腹腔镜治疗老年胆囊结石合并肝外胆管结石[J].中国普通外科杂志，2016，25（8）：1105-1111.
[17]	刘勇，韩承新，刘凤祝.腹腔镜联合胆管镜同期治疗胆囊结石合并肝外胆管结石的临床应用分析[J].医学综述，2016，22（10）：2036-2037.
[18]	方驰华，蔡伟，莫志康.三维可视引导下经3D腹腔镜胆道硬镜靶向碎石治疗肝胆管结石36例临床分析[J].中国实用外科杂志，2016，36（3）：309-312.
[19]	姚利，陈先祥.内镜逆行性胰胆管造影术与腹腔镜胆总管探查术治疗胆囊切除术后胆总管结石的疗效比较[J].临床外科杂志，2018，26（2）：121-123.