摘要
目的分析内窥镜逆行胰胆管造影术(ERCP)联合腹腔镜胆囊切除术(LC)治疗胆总管结石合并胆囊结石的临床效果。方法该次实验选择2015年6月—2018年6月在该院进行胆总管结石并胆囊结石的80例患者为研究对象,按治疗方式的差异将患者平均分成两组,分别是实验组与对照组。用传统开腹手术的(胆囊切除、胆总管切开取石术)为对照组,在ERCP基础上进行腹腔镜胆囊切除术(LC)治疗的为实验组。比较两组患者治疗有效率与并发症发生率。结果治疗后发现,实验组治疗效果显著。实验组治疗有效率为87.5%显著高于对照组为70.0%,实验组治疗有效率更高(χ^2=3.985,P=0.032);实验组患者并发症发生率10.0%,对照组患者并发症发生率30.0%,实验组明显少于对照组,差异有统计学意义(χ^2=5.000,P=0.025<0.05)。结论治疗胆总管结石合并胆囊结石患者过程中,使用内窥镜逆行胰胆管造影术与腹腔镜胆囊切除术联合方案治疗效果更佳。能够有效避免治疗期间并发症的发生,提升治疗有效率。临床价值高,值得大力宣传与应用。
Objective To analyze the clinical effects of endoscopic retrograde cholangiopancreatography(ERCP)combined with laparoscopic cholecystectomy(LC)in the treatment of common bile duct stones with gallstones.Methods 80 patients with common bile duct stones and gallstones were enrolled in the hospital from June 2015 to June 2018.The patients were divided into two groups according to the difference of treatment methods:the experimental group and the control group respectively.The traditional open surgery(cholecystectomy,common bile duct incision and stone removal)was used as the control group,and laparoscopic cholecystectomy(LC)was performed on the basis of ERCP.The treatment efficiency and complication rate were compared between the two groups.Results After treatment,it was found that the treatment effect of the experimental group was remarkable.The effective rate of the experimental group was 87.5%,which was significantly higher than that of the control group(70.0%).The experimental group was more effective(χ^2=3.985,P=0.032);the complication rate of the experimental group was 10.0%,and the complications occurrence rate of the control group was 30.0%,and the experimental group was significantly less than the control group,the difference was statistically significant(χ^2=5.000,P=0.025<0.05).Conclusion In the treatment of patients with common bile duct stones complicated with gallstones,endoscopic retrograde cholangiopancreatography combined with laparoscopic cholecystectomy is better.It can effectively avoid the occurrence of complications during treatment and improve the efficiency of treatment.The clinical value is high and it is worth promotion and application.
作者
余晓峰
YU Xiao-feng(Kunshan Traditional Chinese Medicine Hospital,Kunshan,Jiangsu Province,215300 China)
出处
《系统医学》
2019年第23期89-91,共3页
Systems Medicine
关键词
内窥镜逆行胰胆管造影
腹腔镜胆囊切除术
胆总管结石
胆囊结石
Endoscopic retrograde cholangiopancreatography
Laparoscopic cholecystectomy
Common bile duct stones
Gallstones
