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1、腹腔镜联合输尿管硬镜治疗肝内外胆管结石的手术体会廖林（泸州市龙马潭区石洞中心卫生院四川泸州646103）【中图分类号】R657.4+2【文献标识码】A【文章编号】1672-5085（2012）47-0147-02【摘要】目的为了进一步确定用腹腔镜联合输尿管硬镜的方法治疗肝内外肭管结石的临床有效性。方法对2010年1月-2012年6月期间进入我院治疗的肝内外胆管结石患者共计52例进行回顾性分析，并按照患者自主选择的治疗手段分为两组：治疗组28例，均行腹腔镜联合输尿管硬镜法治疗肝内外肭管结石，对照组24例，行传统取
2、石术治疗肝内外胆管结石。统计两组患者的平均手术进行时间，手术成功率和并发症发生情况。结果治疗组手术成功率100%,平均手术时间108.47min±18.22min，3例患者出现并发症（发生率10.71%）。对照组手术成功率70%,平均手术时间168.35min±20.56min,8例患者岀现并发症（发生率33.33%）。结论腹腔镜联合输尿管硬镜治疗法比传统的取石治疗法具有更满意的临床疗效。【关键词】腹腔镜输尿管硬镜肝内外胆管结石传统取石术Theoperationexperienceo
3、fintrahepaticbileductstonebylaparoscopiccombinedureterendoscopetreatmentLiaoLin,TheShidongDistrictCenterHospitalofLuzhoucity,SichuanLuzhou646103【Abstract】Objective:Tofurtherdefinetheclinicaleffectivenessofintrahepaticbileductstonebylaparoscopiccombinedureter
4、endoscopetreatment.Methods52patientswhotreatmentforextrahepaticbileductstonesinourhospitalfrom2010Januaryto2012Junewereretrospectivelyanalyzed,andaccordingtothedifferenttreatmentmethodschoosebypatients,bedividedintotwogroups:28casesintreatmentgroup,treatment
5、extrahepaticbileductstonesbylaparoscopiccombinedwithureteroscopic,and24casesincontrolgroup,treatmentofintrahepaticbileductstonesbytraditionallithotomy.Themeanoperationtime,successfulrateofoperationandcomplicationsoftwogroupspatientswerestatistied.Results:The
6、successrateofoperationintreatmentgroupwerelOO%,theaverageoperationtimeoftreatmentgroupwere108.47min±18.22min,3patientshadcomplications(incidence10.71%).Thesuccessrateofoperationincontrolgroupwere70%,theaverageoperationtimeofcontrolgroupwere168.35min&p
7、lusmn;20.56min,8patientshadcomplications(incidence33.33%).Conclusionlaparoscopiccombinedureterendoscopetreatmentstonehavemoresatisfactoryclinicalcurativeeffectthantraditionaltreatmentmethod.【Keywords】Laparoscopyureteralcalculibileductstonestraditionallithoto
8、my相关文献［1-2］的统计资料表明：肝胆结石患者手术治疗后并发症的发生率较高，复发率(10.1%-28.2%)高，治疗上存在一定的难度。随着腹腔镜联合输尿管硬镜治疗方法的应用，其肝内外胆道结石的治疗奋效性得到了一定的提高［3-4］,我院对2010年1月-2012年6月期间进入我院治疗的肝内外胆管结石患者共计52例的临床治疗资料进行统计，现将统计结果报道如下：1临床资料和手术方法1.1
