肝胆胰外科杂志2017，Vol.29Issue(5)：377-380,4.DOI:10.11952/j.issn.1007-1954.2017.05.006
ERCP+LC与LC+LCBDE治疗胆囊结石合并胆总管结石的疗效比较
Comparison of the curative effect of ERCP+LC and LC+LCBDE on gallbladder stones with common bile duct stones
代俭华 1刘丹峰 1陈龙江 1章新桥 1孙礼侠 1刘昌阔1
作者信息
- 1. 皖南医学院附属芜湖市第二人民医院 肝胆外科,安徽 芜湖 241000
- 折叠
摘要
Abstract
Objective To compare the clinical effects and safety of ERCP+LC and LC+LCBDE in the treat-ment of gallbladder stones with common bile duct stones. Methods Clinical data of 112 cases of gallbladder stones with common bile duct stones treated with ERCP+LC (n=62) and LC+LCBDE (n=50) between Jan. 20l4 and Nov. 2016 were retrospectively analyzed. The success rate, duration of hospitalization, disposable stone clear-ance rate, postoperative complications were observed and compared between two groups. Results The two groups were comparable in respects of sex, age, number of common bile duct stones and so on. Between ERCP+LC group and LC+LCBDE group, there was no significant difference in terms of the success rate (83.87% vs 90.00%), duration of hospitalization [(7.86±3.41) d vs (6.31±2.95) d], disposable stone clearance rate (98.3% vs 97.8%), and re-admission rate within 30 d (3.4% vs 2.2%). However, the total complication rate in ERCP+LC group was higher than that of LC+LCBDE group (25.4% vs 11.1%, P=0.042). The main postoperative complica-tions were hyperamylasemia, acute pancreatitis, bleeding, biliary and infection in ERCP+LC group; whereas bile leakage, poor recovery of gastrointestinal function and bleeding were found in LC+LCBDE group. Conclusion Both ERCP+LC and LC+LCBDE are safe and effective for the treatment of gallbladder stones with common bile duct stones. Both of which can be selected depending on the individual condition of the patient and the skill and equipment conditions.关键词
胆囊结石合并胆总管结石/微创/多镜/疗效Key words
gallbladder stones with common bile duct stones/minimal invasive/multiple endoscopy/cura-tive effect分类
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代俭华,刘丹峰,陈龙江,章新桥,孙礼侠,刘昌阔..ERCP+LC与LC+LCBDE治疗胆囊结石合并胆总管结石的疗效比较[J].肝胆胰外科杂志,2017,29(5):377-380,4.
