LC联合ERCP、EST治疗胆囊结石合并胆总管结石被引量：4

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摘要目的:观察腹腔镜胆囊切除术(LC)联合逆行胰胆管造影术(ERCP)、十二指肠乳头括约肌切开取石术(EST)治疗胆囊结石合并胆总管结石的临床效果。方法:选取2016年7月~2017年7月我院收治的胆囊结石合并胆总管结石患者110例为研究对象,按随机数字表法分为对照组和观察组,各55例。对照组行腹腔镜胆总管探查+LC治疗,观察组行LC+ERCP+EST治疗。观察两组手术总用时、术中出血量、首次进食时间、术后排气时间、住院时间、结石清除率及术后并发症发生情况。结果:两组均无中转开腹病例,术中出血量、结石清除率比较无显著性差异(P>0.05);观察组手术总用时、首次进食时间、术后排气时间、住院时间以及术后并发症发生率均低于对照组(P<0.05)。结论:LC联合ERCP、EST治疗胆囊结石合并胆总管结石的疗效显著,具有创伤小、恢复快、并发症发生率低的特点,具有较高的临床应用价值。

作者熊高飞

机构地区广东省东莞东华医院

出处《实用中西医结合临床》 2018年第6期82-83,共2页 Practical Clinical Journal of Integrated Traditional Chinese and Western Medicine

关键词胆囊结石胆总管结石腹腔镜胆囊切除术 ERCP EST

分类号 R657.42 [医药卫生—外科学]

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参考文献7

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