腹腔镜联合输尿管硬镜治疗肝内外胆管结石的手术体会.docVIP

精品论文 参考文献 腹腔镜联合输尿管硬镜治疗肝内外胆管结石的手术体会 廖林（泸州市龙马潭区石洞中心卫生院 四川泸州 646103） 【中图分类号】R657.4+2 【文献标识码】A【文章编号】1672-5085（2012）47-0147-02 【摘要】 目的 为了进一步确定用腹腔镜联合输尿管硬镜的方法治疗肝内外胆管结石的临床有效性。方法　对2010年1月-2012年6月期间进入我院治疗的肝内外胆管结石患者共计52例进行回顾性分析，并按照患者自主选择的治疗手段分为两组：治疗组28例，均行腹腔镜联合输尿管硬镜法治疗肝内外胆管结石，对照组24例，行传统取石术治疗肝内外胆管结石。统计两组患者的平均手术进行时间，手术成功率和并发症发生情况。结果　治疗组手术成功率100%，平均手术时间108.47minplusmn;18.22min，3例患者出现并发症（发生率10.71%）。对照组手术成功率70%，平均手术时间168.35minplusmn;20.56min，8例患者出现并发症（发生率33.33%）。结论　腹腔镜联合输尿管硬镜治疗法比传统的取石治疗法具有更满意的临床疗效。 【关键词】腹腔镜 输尿管硬镜 肝内外胆管结石 传统取石术 The operation experience of intrahepatic bile duct stone by laparoscopic combined ureter endoscope treatment Liao Lin ,The Shidong District Center Hospital of Luzhou city ,Sichuan Luzhou 646103 【Abstract】 Objective: To further define the clinical effectiveness of intrahepatic bile duct stone by laparoscopic combined ureter endoscope treatment. Methods 52patients who treatment for extrahepatic bile duct stones in our hospital from 2010 January to 2012 June were retrospectively analyzed, and according to the different treatment methods choose by patients ,be divided into two groups: 28 cases in treatment group, treatment extrahepatic bile duct stones by laparoscopic combined with ureteroscopic, and 24 cases in control group, treatment of intrahepatic bile duct stones by traditional lithotomy. The mean operation time, successful rate of operation and complications of two groups patients were statistied. Results: The success rate of operation in treatment group were100%, the average operation time of treatment group were 108.47minplusmn; 18.22min,3 patients had complications (incidence 10.71%). The success rate of operation in control group were 70%, the average operation time of control group were 168.35minplusmn; 20.56min,8 patients had complications ( incidence 33.33%). Conclusion laparoscopic combined ureter endoscope treatment stone have more satisfactory clinical curative effect than traditional treatment method. 【Ke