临床肝胆病杂志Issue(5)：428-430,3.DOI:10.3969/j.issn.1001-5256.2014.05.011
十二指肠镜、电子胆道和腹腔镜序贯治疗胆总管结石合并胆囊结石834例临床观察
Clinical efficacy of sequentially used duodenal endoscope electronic choled ochoscope and laparoscope in treatment of choledocholithiasis with gallbladder stones:report of 834 cases
张磊 1宋晓静 1周文策 1朱克祥 1朱晓亮 1孟文博 1李汛1
作者信息
- 1. 兰州大学第一医院 普外二科，兰州730000
- 折叠
摘要
Abstract
Objective To investigate the clinical efficacy of sequentially used duodenal endoscope electronic choled ochoscope and laparo-scope in the treatment of choledocholithiasis with gallbladder stones.Methods A retrospective analysis was performed on 834 patients with choledocholithiasis and gallbladder stones who received treatment with sequentially used duodenoscope,laparoscope,and electronic choledo-choscope in our hospital from June 1999 to June 2010.Results The 834 cases received treatment with two endoscopes,and 793 (95.08%) had the stones successfully removed.The other 41 cases received secondary treatment with three endoscopes,and 39 (95.12%)of them had the stones successfully removed.The two failed cases had severe adhesion at the porta hepatis and lesser omental foramen,which made bile duct exploration impossible,and were then treated by laparotomy.Complications were seen in 28 of the 834 cases.Conclusions Treatment with sequentially used endoscopes is feasible and safe and causes few complications in patients with choledocholithiasis and gallbladder stones, and it holds promise for clinical application.关键词
十二指肠镜/腹腔镜/胆道镜/胆总管结石/胆囊结石病Key words
duodenoscopes/laparoscopes/choledochoscopes/choledocholithiasis/cholecystolithiasis分类
医药卫生引用本文复制引用
张磊,宋晓静,周文策,朱克祥,朱晓亮,孟文博,李汛..十二指肠镜、电子胆道和腹腔镜序贯治疗胆总管结石合并胆囊结石834例临床观察[J].临床肝胆病杂志,2014,(5):428-430,3.
