腹腔镜联合胆道镜治疗胆囊结石合并胆总管结石两种术式的临床对照研究

被引：14

作者：

李伟

宋巍巍

石传科

陈壮浩

梁健

陈海生

机构：

[1] 广东省中山市中医院

来源：

中国医学创新 | 2018年 / 15卷 / 26期

关键词：

胆道镜; 胆总管结石; 腹腔镜经胆囊管取石术; 腹腔镜胆总管切开取石术;

D O I：

暂无

中图分类号：

R657.42 [];

学科分类号：

摘要：

目的:探讨腹腔镜胆囊切除(LC)联合经胆囊管取石术(LTSE)与腹腔镜胆囊切除联合胆总管切开取石术(LCH)两种术式治疗胆囊结石合并胆总管结石的临床效果。方法:前瞻性收集2010年1月-2016年6月于本院治疗的胆囊结石合并胆管结石的患者,将符合入组条件的患者按照手术方式的不同分为LC+LTSE组和LC+LCH组。术后随访3～12个月,收集并整理术前、术中及术后临床资料,进行统计学分析。结果:LC+LTSE组手术时间、术后住院时间及住院费用均显著优于LCH组,差异均有统计学意义(P<0.05)。两组结石清除率比较,差异无统计学意义(P>0.05)。LC+LTSE组胆漏发生率显著低于LCH组,差异有统计学意义(P<0.05);而两组的急性胰腺炎、腹腔感染发生率比较,差异均无统计学意义(P>0.05)。LC+LTSE组胆管狭窄发生率明显低于LC+LCH组,差异有统计学意义(P<0.05),而两组结石复发率比较,差异无统计学意义(P>0.05)。结论:LC+LTSE是腹腔镜下治疗胆囊结石合并胆总管结石首选手术方式,对无法经胆囊管胆道镜探查者可考虑LC+LCH方案。

引用

页码：46 / 49

页数：4

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