十二指肠镜、电子胆道镜和腹腔镜序贯治疗胆总管结石合并胆囊结石834例临床观察

张磊; 宋晓静; 周文策; 朱克祥; 朱晓亮; 孟文博; 李汛

doi:10.3969/j.issn.1001-5256.2014.05.011

十二指肠镜、电子胆道镜和腹腔镜序贯治疗胆总管结石合并胆囊结石834例临床观察

DOI: 10.3969/j.issn.1001-5256.2014.05.011

兰州大学第一医院普外二科

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中图分类号: R657.4
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出版历程
- 出版日期: 2014-05-20

Clinical efficacy of sequentially used duodenal endoscope electronic choled ochoscope and laparoscope in treatment of choledocholithiasis with gallbladder stones: report of 834 cases

摘要

摘要:
目的探讨十二指肠镜、电子胆道镜和腹腔镜序贯治疗胆总管合并胆囊结石的临床疗效。方法回顾性分析1999年6月至2010年6月间本院采用十二指肠镜、腹腔镜和电子胆道镜序贯治疗的834例胆总管结石并胆囊结石患者。结果 834例接受"二镜"(即腹腔镜、十二指肠镜)治疗,成功793例(95.08%)。41例"二镜"治疗困难转入选择"三镜"(即腹腔镜、十二指肠镜、电子胆道镜)治疗,成功39例(95.12%),"三镜"治疗未取得成功的2例患者因肝门部及小网膜口严重黏连,无法显露胆总管,遂转为开腹手术治疗。834例患者共出现并发症28例。结论序贯性多镜联合技术治疗胆总管结石合并胆囊结石切实可行,并发症率低,安全可靠,值得临床推广。
- 十二指肠镜 /
- 腹腔镜 /
- 胆道镜 /
- 胆总管结石 /
- 胆囊结石病
Abstract:
Objective To investigate the clinical efficacy of sequentially used duodenal endoscope electronic choled ochoscope and laparoscope in the treatment of choledocholithiasis with gallbladder stones. Methods A retrospective analysis was performed on 834 patients with choledocholithiasis and gallbladder stones who received treatment with sequentially used duodenoscope, laparoscope, and electronic choledochoscope in our hospital from June 1999 to June 2010. Results The 834 cases received treatment with two endoscopes, and 793 ( 95. 08%) had the stones successfully removed. The other 41 cases received secondary treatment with three endoscopes, and 39 ( 95. 12%) of them had the stones successfully removed. The two failed cases had severe adhesion at the porta hepatis and lesser omental foramen, which made bile duct exploration impossible, and were then treated by laparotomy. Complications were seen in 28 of the 834 cases. Conclusions Treatment with sequentially used endoscopes is feasible and safe and causes few complications in patients with choledocholithiasis and gallbladder stones, and it holds promise for clinical application.
- duodenoscopes /
- laparoscopes /
- choledochoscopes /
- choledocholithiasis /
- cholecystolithiasis

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参考文献(10)

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