【摘要】 目的:探讨胆囊结石合并胆总管结石治疗中不同微创术式治疗的临床效果与安全性。方法:选取2013年至2015年收治的胆囊结石合并胆总管结石患者100例,随机平均分为两组,A组为腹腔镜胆囊切除术(LC)联合腹腔镜胆总管切开胆道镜探查取石术(LCBDE)治疗,B组为内镜逆行胰胆管造影/镜下括约肌切开取石术(ERCP/EST)联合LC治疗。结果:治疗后A组患者一次手术成功率高于B组,差异有统计学意义(P<0.05),住院时间以及费用低于B组,差异有统计学意义(P<0.05),两组患者术后并发症发生率差异有统计学意义(P<0.05)。两组患者手术总成功率并异无统计学意义P>0.05)。结论:两种微创术式均能够有效治疗胆囊结石合并胆总管结石,而LCBDE联合LC术式的一次成功率较高,而住院时间与费用明显较低,在适合的条件下LCBDE联合LC应为首选术式。更多还原

【Abstract】 Objective: To explore the clinical effect and safety of different minimally invasive methods in treating gallstone combined with choledocholithiasis. Methods: 100 patients with gallstone combined with choledocholithiasis treated from 2013 to 2015 were selected and divided into two groups randomly. Group A was treated with LC combined with LCBDE,and group B was treated with ERCP / EST combined with LC. Results: The success rate of one-time operation of group A was evidently higher than that of group B after operation( P <0.05),and the length of stay and expence was lower than that of B group( P <0.05). There was different in incidence rate of complications after operation and no evident difference of the total success rate of operation and between two groups( P >0.05). Conclusion: Two minimally invasive ways can effectively treat gallstone combined with choledocholithiasis. But the success rate of one-time operation of LCBDE combined with LC operation is higher,and the length of stay and expense is lower. So the operation of LCBDE combined with LC is the first choice under appropriate conditions.更多还原