【摘要】 目的探讨十二指肠镜、腹腔镜、胆道镜三镜联合阶梯性微创治疗胆囊结石合并胆总管结石的治疗效果。方法回顾分析2008年11月至2012年11月采用"三镜联合"阶梯性方案治疗310例胆囊结石合并胆总管结石的临床资料。结果 285例成功采用微创方案完成治疗。腹腔镜联合十二指肠镜278例,其中中转开腹8例,腹腔镜联合胆道镜6例,腹腔镜联合胆道镜及十二指肠镜9例,总成功率94.94%。手术并发症发生率2.9%。全组无死亡病例。结论 "三镜联合"方案具有患者损伤小、痛苦少、康复快等优点,临床效果满意。更多还原

【Abstract】 Objective To investigate the effects of the combined application of duodenoscope, laparoscope and choledochoscope for the treatment of the patients with cholecystolithiasis accompanied by choledocholithiasis. Methods The clinical data on 310 patients with cholecystolithiasis accompanied by choledocholithiasis treated by combined techniques of combined three endoscopes from November 2008 to November 2012 were retrospectively analyzed. Results This combination treatment was successfully carried out in 285 cases. Of 278 patients underwent laparoscopes and duodenoscopes, 8 underwent open cholecystectomy, 6 underwent laparoscopes cholecystectomy with choledochoscopes and 9 underwent duodenoscopes and laparoscopes associated with choledochoscopes. The successful rate of the sequential treatment was 94.94% and the complication occurrence rate was 2.9%. ConclusionDuodenoscopes, laparoscopes combined with choledochoscopes have the advantage of less invasion, less pain, quicker recovery and satisfactory clinical effect.更多还原