ERCP+LC与LC+LCBDE治疗胆总管结石伴胆囊结石的回顾性研究

朱坪, 刘佳, 杨静, 等. ERCP+LC与LC+LCBDE治疗胆总管结石伴胆囊结石的回顾性研究[J]. 临床急诊杂志, 2016, 17(8): 637-640. doi: 10.13201/j.issn.1009-5918.2016.08.017
引用本文: 朱坪, 刘佳, 杨静, 等. ERCP+LC与LC+LCBDE治疗胆总管结石伴胆囊结石的回顾性研究[J]. 临床急诊杂志, 2016, 17(8): 637-640. doi: 10.13201/j.issn.1009-5918.2016.08.017
ZHU Ping, LIU Jia, YANG Jing, et al. ERCP+LC and LC+LCBDE in the treatment of common bile duct stones with gallstone:aprospective randomized controlled study[J]. J Clin Emerg, 2016, 17(8): 637-640. doi: 10.13201/j.issn.1009-5918.2016.08.017
Citation: ZHU Ping, LIU Jia, YANG Jing, et al. ERCP+LC and LC+LCBDE in the treatment of common bile duct stones with gallstone:aprospective randomized controlled study[J]. J Clin Emerg, 2016, 17(8): 637-640. doi: 10.13201/j.issn.1009-5918.2016.08.017

ERCP+LC与LC+LCBDE治疗胆总管结石伴胆囊结石的回顾性研究

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  • 中图分类号: R44

ERCP+LC and LC+LCBDE in the treatment of common bile duct stones with gallstone:aprospective randomized controlled study

  • 目的:探讨腹腔镜胆囊切除(LC)联合胆总管探查取石术(LCBDE)和十二指肠镜逆行胰胆管造影术(ERCP)联合LC治疗胆管结石伴胆囊结石的临床疗效。方法:选取2011-08-2015-12期间在我院分别采用ERCP+LC(ERCP+LC组,n=69)与LC+LCBDE(LC+LCBDE组,n=76)治疗的胆总管结石伴胆囊结石患者,比较分析2组患者的疗效。结果:LC+LCBDE组患者的手术时间明显长于ERCP+LC组,手术次数和术后住院时间明显小于ERCP+LC组,差异均有统计学意义(P<0.05)。LC+LCBDE组的手术中转率、并发症发生率、结石残留率、术后下床活动时间均优于ERCP+LC组,差异无统计学意义。LC+LCBDE组患者的总体满意程度分布情况优于ERCP+LC组患者,差异具有统计学意义(P<0.05)。LC+LCBDE组复杂性胆总管结石患者取石成功率、术后住院时间、手术中转率、手术次数均明显优于ERCP+LC组复杂性胆总管结石患者,差异均有统计学意义(P<0.05)。结论:LC+LCBDE 与ERCP+LC治疗胆囊结石合并胆总管结石同样安全、有效。但LC+LCBDE住院时间更短,治疗费用更低,治疗胆总管结石数目多(≥3个)或结石直径较大(≥15 mm)或患有Mirizzi综合征的患者更有优势。
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收稿日期:  2016-06-27

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