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时间:2020-04-19
《经内镜乳头括约肌切开取石术与传统开腹胆总管切开取石术治疗胆总管结石的疗效比较.pdf》由会员上传分享,免费在线阅读,更多相关内容在应用文档-天天文库。
1、294肝胆外科杂志2014年8月第22卷第4期JournalofHepatobiliarySurgery,Vol,22,No.4,AH昏2014性重型肝炎疗效观察.实用肝脏病杂志,2010,13(2):129—Hepatogastroentemlogy,2012,59(113):47—5O.131.10祁夫魁.双镜联合保胆取石术与完全腹腔镜保胆取石术治疗胆8段世刚,洪明,张云.腹腔镜联合开腹胆道探查器行胆总管探查囊结石的临床研究.四川医学,2012,33(5):786—787.取石的临床应用.中华
2、消化外科杂志,2011,10(4):303—304.(本文编辑赵义军)9YiF,JinWS,XiangDB,eta1.Complicationsoflaparoscopicchole—cystectomyanditsprevention:areviewandexperienceof400cases.经内镜乳头括约肌切开取石术与传统开腹胆总管切开取石术治疗胆总管结石的疗效比较马召锋【摘要】目的探讨经内镜乳头括约肌切开取石术与传统开腹胆总管切开取石术治疗胆总管结石的I临床疗效。方法选择我院2010年6
3、月至2013年1月行手术治疗胆总管结石患者7O例,其中行内镜乳头括约肌切开取石术35例作为治疗组,开腹胆总管切开取石手术治疗35例作为对照组。观察并比较两组临床疗效结果。结果70例手术均获成功。其中观察组在手术时间、引流时间、术后下床活动时间、术后排气恢复时间、术后住院天数、术后并发症发生率方面均优于对照组(P<0.05)。结论经内镜乳头括约肌切开术治疗胆总管结石具有创伤小、术后恢复快、痛苦少、住院时间短及术后并发症少等优点。是目前治疗胆总管结石的理想微创术式之一,临床上值得推广应用。【关键词】胆
4、总管结石;经内镜乳头括约肌切开术(EST);胆总管切开取石术【中图分类号】R657.4【文献标识码】A【文章编号】1006-4761(2014)0442294-03Theclinicalefectbetweenopencholedocholithoyomyandendoscopicsphincterotomy(EST)inthetreatmentofcommonbileductstones(MAZhao-feng.TheHutuoHospitaloftraditionChineseMedcine,
5、Bozhou236000,China)【Abstract】ObjectiveToinvestigatetheclinicaleffectbetweenopencholedocholithoyomyandendoscopicsphincterotomy(EST)inthetreatmentofcommonbileductstones.Methods70patientsdiagnosedascholedocholithiasisinourhospitalfromJune2010toJanuary201
6、3wereselectedintotreatmentgroupandcontrolgroup.35casesintreatmentgroupweretreatedwithendoscopicsphincterotomy,35casesincontrolgroupwerereceivedconventionalopencholedocholithoyomysurgery.Theclinicaleffectwereob—servedandcomparedbythetwogroups.ResultsTh
7、eoperationsweresuccessfulinallthe70cases.Comparedwiththecontrolgroup,patientstreatedwithESThadashorteroperationtime,shorterdrainagetime,earlierpostoperativeambulation,quickerpostop—erativeintestinalexhausttimeshorterpostoperativehospitalizationstayand
8、littletheincidencerateofpostoperativecomplications(P<0.05).ConclusionESTinthetreatmentofcommonbileductstoneshasitsadvantagesasminimalinjury,quickrecovery,lesspain,shorterhospitalizationtimeandfewerpostoperativecomplicationsandit’Sidealforminim
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