保胆取石治疗单纯胆囊结石临床分析.docVIP

保胆取石治疗单纯胆囊结石临床分析[摘要] 目的：探讨腹腔镜下胆道镜保胆取石治疗胆囊结石的可行性及临床疗效。方法：选取单纯胆囊结石的患者60例，经腹腔镜下切开胆囊底部，经胆道镜取石，评价手术效果。结果：所有手术均获得成功，平均手术时间为（70±20） min，平均术中出血量为（15±5） ml，平均术后排气时间为（1.2±0.5） d，平均术后住院时间为（5±1） d，术中无胆管损伤，术后随访12个月，无严重并发症发生。患者的胆囊收缩功能平均为25%～40%。结论：微创行保胆取石治疗单纯胆囊结石，安全可行、具有较好的临床效果 [关键词] 保胆取石术；腹腔镜；胆道镜；胆囊结石 [中图分类号] R575.6+2 [文献标识码] C [文章编号] 1674-4721（2011）11（c）-161-02 Clinical analysis of cholecystolithotomy with gallbladder preservation on simple cholecystolithiasis XIANG Jiyong 1, GONG Wen2 1. Department of Second Surgenry, the People’s Hospital of Zhongjiang County, Sichuan Province, Zhongjiang 618100, China; 2. Department of Third Surgenry, the People’s Hospital of Gaoping Distrect in Nanchong City, Sichuan Province, Nanchong 637100, China [Abstract] Objective: To investigate the clinical effect and feasibility of cholecystolithotomy with gallbladder preservation by laparoscope on simple cholecystolithiasis. Methods: 60 cases of patients with simple cholecystolithiasis were selected and bottom of blastula were cutdown with laparoscope, stone were taken out with choledochoscope, effect of operations were evaluated. Results: All operations succeed, time of operations was (70±20) min, volume of hemorrhage was (15±5) ml， time of break wind after operations was (1.2±0.5) d, time in hospital was (5±1) d, injury of duct did not happen, all patients were followed up for 12 month after operations, there were not severe complication after operations, systolic function of gallbladder was 25%~40%. Conclusion: Cholecystolithotomy with gallbladder preservation on simple cholecystolithiasis are safe and have satisfactory clinical curative effect. [Key words] Cholecystolithotomy with gallbladder preservation; Laparoscope; Choledochoscope; Cholecystolithiasis 胆囊结石是胆管外科学中常见病、多发病，胆囊切除术一直被认为是治疗该病的金标准[1]。随着的腹腔镜技术的发展，腹腔镜保胆取石术近年在临床逐渐应用[2]。本文选取了本院2010年1月～2011年1月收治的行腹腔镜下胆道镜保胆取石术治疗单纯胆囊结石的患者60例进行分析，现总结报道如下： 1 资料与方法 1.1 一般资料 本组60例患者中男性35例，女性25例，年龄在29～60岁，平均（34.0±2.5）岁。其中多发结石29