摘要
目的探讨十二指肠镜、胆道镜、腹腔镜等多镜联合治疗胆总管结石合并胆囊结石的技术优势。方法采用腹腔镜胆总管探查术+腹腔镜胆囊切除术(LCBDE+LC)和内窥镜逆行胰胆管造影术+内窥镜下括约肌切开取石术+腹腔镜胆囊切除术(ERCP+EST+LC)两种术式治疗胆总管结石合并胆囊结石患者。结果有两组病例,其中LCBDE+LC组36例,本组术后胆道残余结石2例,后经T管窦道行胆道镜取石治愈。ERCP+EST+LC组54例,本组术后并发一过性高淀粉酶血症3例,发生急性轻型胰腺炎2例。结论多镜联合治疗胆总管结石合并胆囊结石具有创伤小、效果好、并发症少、恢复快的优点,多镜联合发挥出其独特技术优势,避免了因接受传统开腹手术而造成较大创伤的不合理治疗模式。
Objective To explore the duodenum mirror,biliary mirror,mirror combination therapy of laparoscopic etc bravery manager stone merger cystic and calculous technical advantage.Methods Laparoscopic bile duct exploration art + laparoscopic cholecystectomy(LCBDE + LC) and endoscopic retrograde hinders angiography + endoscope sphincter nephrolithotomy + cut take laparoscopic cholecystectomy(ERCP + EST + LC) two operation treatment bravery manager mergers cystic and calculous patient.Results There are two groups LCBDE + LC cases,including 36 cases of this group,postoperative residual calculus 2 cases,hemobilia after t-tube sinus ShiZhiYu biliary mirror at take.ERCP + EST + LC group of 54,after the follow-up group 3 cases of sexual high amylase hematic disease,occurred in 2 cases of acute light pancreatitis.Conclusion Many mirror combination therapy bravery manager stone with cystic and calculous has small trauma,good effect and fewer complications,and the advantages of quick recovery,exerting its unique lens joint technical advantage,to avoid the traditional open surgery for accepting the trauma caused by larger unreasonable treatment mode.
出处
《生物医学工程学进展》
CAS
2011年第2期93-95,共3页
Progress in Biomedical Engineering
关键词
逆行胰胆管造影术
EST
腹腔镜胆囊切除术
腹腔镜胆总管切开取石术
retrograde hinders screened,EST,laparoscopic cholecystectomy,laparoscopic bravery manager take nephrolithotomy cut
