摘要
目的探讨腹腔镜联合术中十二指肠镜同步治疗胆囊结石合并急性胆道梗阻的临床治疗效果。方法实验组:30例胆囊结石合并急性胆道梗阻患者采用腹腔镜联合术中十二指肠镜同步治疗,对照组:30例同类患者行传统开腹胆囊切除+胆总管切开(胆道镜)取石+T管引流术;对两组患者手术时间,术后胃肠道恢复时间,所需总治疗时间,术后并发症(胆漏、胆道结石残留、胆道感染)发生情况进行统计分析。结果在整个治疗过程中,实验组所需治疗时间明显小于对照组,术后出现胆道结石残留、胆道感染情况,两组差异有显著性(P<0.05)。结论采用腹腔镜联合术中十二指肠镜同步法治疗胆囊结石合并急性胆道梗阻住院时间短、恢复快、术后并发症少,有推广普及价值。
[Objective] To explore the clinical curative effect of synchronous treatment with laparoscopy union intra-operative duodenoscopy in patients with cholecystolithiasis merged acute biliary duct obstruction.[Methods] The experiment group of 30 examples cholecystolithiasis merge acute biliary duct obstruction patients use the synchronous treatment with laparoscopy union intra-operative duodenoscopy;The control group of 30 examples used the common cholecystectomy and choledocholithotomy T-tube drainage to carry on the treatment.The post-operative gastrointestinal recovery time,total treatment time and postoperative complications（biliary fistula,residual stones,biliary duct infection） were analyzed.[Results] The observation targets in the experiment group were all shorter than those in the control group.The differences between these two groups were of statistical significance（P0.05）.[Conclusions] Synchronous treatment of the patients with laparoscopy union intra-operative duodenoscopy are shorter hospital time,faster recovering and less post-operative complications,which is worth promoting the popularization.
出处
《中国内镜杂志》
CSCD
北大核心
2011年第9期960-962,965,共4页
China Journal of Endoscopy
关键词
腹腔镜
十二指肠镜
同步治疗
胆囊结石
胆道梗阻
laparoscopy
duodenoscopy
synchronous treatment
cholecystolithiasis
biliary duct obstruction
