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腹腔镜胆囊切除术联合内镜逆行胰胆管造影治疗胆石症的效果研究
Effect of Laparoscopic Cholecystectomy Combined With Endoscopic Retrograde Cholangiopancreatography on Cholelithiasis
【摘要】 目的探究腹腔镜胆囊切除术(LC)联合内镜逆行胰胆管造影(ERCP)治疗胆石症的效果。方法随机抽取2015年1月—2017年5月我院收治的128例胆石症患者作为研究对象,按照每组64例将患者分为对照组和研究组。对照组采用传统开腹手术方式治疗,研究组则采取ERCP与LC相结合的治疗方式,比较两组患者的治疗效果。结果研究组的C反应蛋白含量为(11.0±4.6)mg/L、手术出血量为(32.5±6.4)ml、切口长度为(2.4±0.7)cm、住院时长为(9.1±2.0)天,各项指标与对照组相比,差异有统计学意义(P<0.05)。此外,研究组的治疗总有效率为95.3%,与对照组(81.3%)相比差异有统计学意义(P<0.05)。结论腹腔镜胆囊切除术联合内镜逆行胰胆管造影的治疗安全性更高,患者预后更佳。
【Abstract】 Objective To investigate the effect of laparoscopic cholecystectomy combined with endoscopic retrograde cholangiopancreatography(ERCP) in the treatment of cholelithiasis. Methods From January 2015 to May 2017, 128 patients with cholelithiasis were randomly divided into control groupand study group, 64 cases in each group. The control group was treated by traditional open surgery. The study group was treated by the combination therapy of ERCP and LC, and the therapeutic effect of the two groups were compared. Results The C-reactive protein content(11.0 ± 4.6) mg/L, surgical bleeding(32.5 ± 6.4) ml, incision length(2.4 ± 0.7) cm, hospital stay(9.1 ± 2.0) days compared with the control group, and there was significant difference between the two groups(P < 0.05). In addition, the total effective rate of the study group was 95.3%, compared with the control group(81.3%) was significantly different(P < 0.05). Conclusion Laparoscopic cholecystectomy combined with endoscopic retrograde cholangiopancreatography is more safe and has a better prognosis.
【Key words】 laparoscopic cholecystectomy; endoscopic retrograde cholangiopancreatography; cholelithiasis;
- 【文献出处】 中国卫生标准管理 ,China Health Standard Management , 编辑部邮箱 ,2017年21期
- 【分类号】R657.42
- 【被引频次】1
- 【下载频次】19