中国当代医药Issue(17)：52-54,57,4.
LC术前及术后ERCP＋EST治疗胆囊结石合并胆总管结石的效果比较
Efficacy comparison of ERCP plus EST before and after laparoscopic cholecystectomy in the treatment of cholelithiasis complicated with chole-docholithiasis
宋浪 1董路 1蒋东磊 1闫军1
作者信息
- 1. 山西医科大学第一附属医院普外科，太原 030001
- 折叠
摘要
Abstract
Objective To explore and compare the efficacy of endoscopic retrograde cholangio-pancreatography(ERCP) plus endoscopic sphincterotomy(EST)before and after laparoscopic cholecystectomy(LC)in the treatment of cholelithiasis complicated with choledocholithiasis. Methods 69 cases of patients with cholelithiasis complicated with choledo-cholithiasis in the First Affiliated Hospital of Shanxi Medical University and the General Hospital of TISCO from September 2009 to December 2012 were selected and received LC and ERCP plus EST.39 patients received ERCP plus EST before LC and 30 patients received ERCP plus EST after LC.Hospitalization time,incidence rate of complica-tion and the relevant index change in two groups was compared respectively. Results Hospitalization time in preopera-tive group was shorter than that in postoperative group,with statistical difference (P<0.05).The incidence rate of fever and acute pancreatitis in preoperative group was lower than that in postoperative group respectively,with statistical dif-ference(P<0.05).The incidence rate of bleeding and perforation in two groups was compared respectively,with no statis-tical difference(P>0.05).The incidence rate of increase leukocytes and hyperamylasemia in preoperative group was lower than that in postoperative group respectively,with statistical difference(P<0.05).The incidence rate of total bilirubin val-ue falls and ALT value decline in two groups was compared respectively,with no statistical difference (P>0.05). Con-clusion ERCP plus EST carried out before LC has advantages of less complication and shorter hospitalization time,and has a wide prospect of application in the treatment of cholelithiasis complicated with choledocholithiasis,which is wor-thy of clinical promotion and application.关键词
腹腔镜胆囊切除术/经内镜逆行性胰胆管造影术/内镜下括约肌切开术/胆囊结石/胆总管结石Key words
Laparoscopic cholecystectomy/Endoscopic retrograde cholangio-pancreatography/Endoscopic sphinctero-tomy/Cholelithiasis/Choledocholithiasis分类
医药卫生引用本文复制引用
宋浪,董路,蒋东磊,闫军..LC术前及术后ERCP＋EST治疗胆囊结石合并胆总管结石的效果比较[J].中国当代医药,2014,(17):52-54,57,4.
