摘要
目的探讨“三镜”联合应用治疗胆管结石的疗效。方法128例胆囊结石经检查确诊合并肝外胆道结石，其中接受十二指肠镜行奥狄氏括约肌切开或扩张后网篮取石（EST）和腹腔镜胆囊切除术87例，腹腔镜胆囊切除同时经胆囊管或胆总管切开胆道镜取石术41例。结果128例患者成功进行“三镜”联合治疗，术后恢复快，住院时间短，无并发症，痊愈出院，随访6—24个月无残余结石表现。结论“三镜”联合治疗胆囊结石合并肝外胆道结石是安全可靠、疗效确切的微创治疗。
Objective To explore the curative effect of ＂the combination of triple-scope＂ in the treatment of bile duct calculus. Methods 128 patients with cholecystolithiasis were diagnosed with extrahepatic bile duct stones inpatients receiving EST stone and laparoscopic cholecystectomy 87 cases, part of patients underwent laparoscopic cholecystectomy and via the cystic duct or choledocholithotomy 41 cases treatment. Results 128 cases were successfully performed with ＂triple-scope＂ combination therapy with rapid postoperative recovery, shorter hospitalization time, and no complications, the follow-up was 6-24 months, no residual stones and reflux cholangitis were found. Conclusion ＂The combination of triple-scope＂ combination therapy in the treatment of cholecystolithiasis and extrahepatic bile duct stones is safe and reliable, the exact effect of minimally invasive treatment, and worthy of promotion.
出处
《浙江临床医学》
2016年第4期624-625,共2页
Zhejiang Clinical Medical Journal
关键词
腹腔镜
十二指肠镜
胆道镜
胆囊结石合并胆总管结石
Laparoscopic duodenoscopy choledochoscopy Cholecystolithiasis and choledocholithiasis
