摘要
目的：探讨腹腔镜、十二指肠镜联合腹腔镜术中超声治疗胆总管结石的应用价值。方法：2005年5月至2010年12月共纳入病例85例,78例术前确诊为胆囊结石并胆总管结石,腹腔镜胆囊切除术中超声发现7例合并胆总管结石,序贯行腹腔镜、十二指肠镜联合治疗。结果：腹腔镜联合十二指肠镜成功72例,13例因结石巨大或十二指肠憩室内乳头而中转开腹,成功率84.7%（72/85）;术后15例出现高淀粉酶血症,未发生腹腔内感染、胆管损伤、急性胰腺炎及十二指肠穿孔等严重并发症。随访72例患者2~48个月,未见结石复发,无逆行性胆管炎等并发症发生。结论：腹腔镜、十二指肠镜及术中腹腔镜超声联合治疗胆总管结石安全、有效、微创。
Objective：To investigate the clinical value of laparoscopy,duodenoscopy combined intraoperative ultrasonography in treatment of choledocholithiasis.Methods：The clinical data of 85 cases from May 2005 to Dec.2010 were retrospectively analyzed.78 cases were diagnosed as cholecystolithiasis and choledocholithiasis before operation,while the other 7 cases were diagnosed by laparoscopic intraoperative ultrasound.They received laparoscopic and duodenoscopic treatment.Results：Seventy-two cases of laparoscopy and duodenoscopy were successful,other 13 cases were converted to laparotomy because of huge stones or papilla at duodenal diverticulum,the successful rate was 84.7%（72/85）.There were 15 cases of hyperamylasemia after operation.No severe complications occurred,such as peritoneal infection,bile duct damage,acute pancreatitis and duodenal perforation.72 patients were followed up for 2-48 months.There was no recrudesced case or retrograde cholangitis.Conclusions：Laparoscopy,duodenoscopy combined with intraoperative ultrasonography is safe,effective and mini-invasive in treatment of choledocholithiasis.
出处
《腹腔镜外科杂志》
2011年第7期510-511,共2页
Journal of Laparoscopic Surgery
