資源描述：
《LC術(shù)前及術(shù)后ERCPEST治療膽囊結(jié)石合并膽總管結(jié)石的效果比較.doc》由會員上傳分享，免費在線閱讀，更多相關(guān)內(nèi)容在工程資料-天天文庫。
1、LC術(shù)前及術(shù)后ERCP+EST治療膽囊結(jié)石合并膽總管結(jié)石的效果比較［摘要］目的探討和比較腹腔鏡膽囊切除術(shù)（LC）術(shù)前行經(jīng)內(nèi)鏡逆行性胰膽管造影術(shù)（ERCP）和內(nèi)鏡下括約肌切開術(shù)（EST）與LC術(shù)后行ERCP和EST治療膽囊結(jié)石合并膽總管結(jié)石的效果。方法選取2009年9月?2012年12月在山西醫(yī)科大學(xué)第一附屬醫(yī)院及太鋼總醫(yī)院入院的膽囊結(jié)石合并膽總管結(jié)石行LC及ERCP+EST的患者69例，其中LC術(shù)前行ERCP+EST39例，LC術(shù)后行ERCP+EST30例，比較兩組的住院時間、并發(fā)癥發(fā)生率、相關(guān)指標變化情況。結(jié)果術(shù)前組的住院時間短于術(shù)后組，差異有統(tǒng)計學(xué)意義（P0.05）o術(shù)前組的
2、白細胞升高、高淀粉酶血癥發(fā)生率均低于術(shù)后組,差異有統(tǒng)計學(xué)意義（P0.05）o結(jié)論LC術(shù)前行ERCP+EST具有并發(fā)癥少、住院時間短等優(yōu)點，對治療膽囊結(jié)石合并膽總管結(jié)石具有廣闊的應(yīng)用前景，值得臨床推廣應(yīng)用。［關(guān)鍵詞］腹腔鏡膽囊切除術(shù)；經(jīng)內(nèi)鏡逆行性胰膽管造影術(shù)；內(nèi)鏡下括約肌切開術(shù)；膽囊結(jié)石；膽總管結(jié)石［中圖分類號］R575.6+2］文獻標識碼］A［文章編號］1674-4721（2014）06（b）-0052-04EfficacycomparisonofERCPplusESTbeforeandafter1aparoscopiccholecystectomyinthetreatmento
3、fcholelithiasiscomplicatedwithcholedocholithiasisJIANGDong-leiYANJunADONGLuSONGLangDepartmentofGeneralSurgery,theFirstAffiliatedHospitalofShanxiMedicalUniversity,Taiyuan030001,China[Abstract]ObjectiveToexploreandcomparetheefficacyofendoscopicretrogradecholangio-pancreatography(ERCP)plusendosc
4、opicsphincterotomy(EST)beforeandafterlaparoscopiccholecystectomy(LC)inthetreatmentofcholelithiasiscomplicatedwithcholedocholithiasis.Methods69casesofpatientswithcholelithiasiscomplicatedwithcholedocholithiasisintheFirstAffiliatedHospitalofShanxiMedicalUniversityandtheGeneralHospitalofTTSCOfro
5、mSeptember2009toDecember2012wereselectedandreceivedLCandERCPplusEST.39patientsreceivedERCPplusESTbeforeLCand30patientsreceivedERCPplusESTafterLC.Hospitalizationtime,incidencerateofcomplicationandtherelevantindexchangeintwogroupswascomparedrespectively.ResultsHospitalizationtimeinpreoperativeg
6、roupwasshorterthanthatinpostoperativegroup,withstatisticaldifference(P0.05).Theincidencerateofincrease1eukocytesandhyperamy1asemiainpreoperativegroupwaslowerthanthatinpostoperativegrouprespectively,withstatisticaldifference(P0.05)?ConclusionERCPplusESTcarriedoutbeforeLChasadvantagesoflesscomp
7、licationandshorterhospitalizationtime,andhasawideprospectofapplicationinthetreatmentofcholelithiasiscomplicatedwithcholedocholithiasis,whichisworthyofclinicalpromotionandapplication.[Keywords]Laparoscopiccholecystectomy;Endoscopicretrogradech
