腹腔镜下胆道镜联合U100plus激光与ERCP治疗胆总管下端嵌顿性结石的疗效比较

【摘要】 目的 比较腹腔镜下胆道镜联合U100plus激光与经内镜逆行性胰胆管造影术(ERCP)治疗胆总管下端嵌顿性结石的临床疗效。方法 回顾性分析本院于2014年1月至2017年12月期间收治的54例胆总管下端嵌顿性结石患者的临床资料,应用腹腔镜、胆道镜联合U100plus激光碎石治疗组(腹腔镜组)19例,ERCP治疗组(ERCP组)35例。比较两组患者的取石成功率、并发症发生率和结石复发率。结果 两组患者取石成功率、并发症发生率比较差异有统计学意义(P<0.05),两组患者结石复发率比较差异无统计学意义(P>0.05)。结论 腹腔镜、胆道镜联合U100plus激光碎石术是治疗胆总管下段嵌顿性结石的安全、有效手段,相比ERCP取石成功率高,并发症少。更多还原

【Abstract】 Objective To compare the clinical efficacy oflaparoscopic choledochoscope combined with U100 plus laser and ERCP in the treatment of incarcerated stones of the lower common bile duct. Methods The clinical data of 54 patients with incarcerated stones of the lower common bile duct admitted to our hospital from Jan. 2014 to Dec. 2017 were retrospectively analyzed. The patients were divided into laparoscopic choledochoscope combined with U100 plus laser lithotripsy group, ERCP group.Success rate of stone extraction, rate of complications and recurrence rate of stone were compared among the 2 groups. Result The difference in the success rate of stone extraction and rate of complications between the two groups was statistically significant(P<0.05).There was no significant difference in the recurrence rate of stone between the two groups( P>0.05).Conclusion Laparoscopic choledochoscope combined with U100 plus laser lithotripsy in the treatment of incarcerated stones of the lower common bile duct is safe and effective. Laparoscopic choledochoscope combined with U100 plus laser lithotripsy has higher success rate and fewer complications than ERCP in the treatment of incarcerated stones of the lower common bile duct.更多还原