腹腔镜取石术联合内镜逆行胰胆管造影治疗胆石症的临床疗效
李晓林1 ，张冲2，石德红2 ，梁君蓉2
（1.陕西省宝鸡市金台医院消化科，陕西 宝鸡，721000；2.陕西省宝鸡市解放军第三医院消化科，陕西 宝鸡，721000）
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摘要：
目的 观察腹腔镜取石术（LC）联合内镜逆行胰胆管造影（ERCP）治疗胆石症的临床疗效。方法 对解放军第三医院100例胆石症患者采用LC+ERCP 治疗，设为研究组，对同期100例胆石症患者采用常规开腹治疗，设为对照组，对两组的手术情况及取石成功率进行比较。结果 研究组切口长度、术中出血量、住院时间明显优于对照组，差异有统计学意义（P<0.01）；研究组取石成功率为93%，对照组取石成功率为88%，差异不显著（P>0.05）。结论 腹腔镜取石术联合内镜逆行胰胆管造影治疗胆石症的取石成功率高，对患者身体伤害小，临床应用价值高。
关键词：腹腔镜取石术；内镜逆行胰胆管造影；胆石症
中图分类号：R657.4文献标志码：A文章编号：2096-1413(2016)25-0071-02
The clinical efficacy of laparoscopic stone surgery combined with endoscopic retrograde cholangiopancreatography in the treatment of cholelithiasis
LI Xiao-lin 1, ZHANG Chong 2, SHI De-hong 2, LIANG Jun-rong 2
(1. Department of Gastroenterology in Jintai Hospital, Baoji 721000; 2. Department of Gastroenterology in the People`s Liberation Army Third Hospital, Baoji 721000, China)
ABSTRACT: Objective To observe the clinical efficacy of laparoscopic stone surgery combined with endoscopic retrograde cholangiopancreatography in the treatment of cholelithiasis. Methods One hundred cases of cholelithiasis patients with LC+ ERCP treatment were selected as study group, another 100 cases of patients treated with conventional open surgery were as control group. The operation situation and success rate of stone removal in the two groups were compared. Results The incision length, blood loss, hospital stay of the study group were significantly better than those of the control group (P<0.01); the stone removal success rate of the study group was 93%, which was higer than 88% of the control group (P>0.05). Conclusion Laparoscopic lithotomy joint endoscopic retrograde cholangiopancreatography in the treatment of cholelithiasis has higher success rate, less bodily harm, and higher clinical value.
KEYWORDS: laparoscopic lithotomy; endoscopic retrograde cholangiopancreatography; olelithiasis
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