胆囊结石合并胆总管结石微创外科联合中药治疗的临床对比研究

【作者】 徐继宗；

【导师】 廖恒祥；

【作者基本信息】 湖北中医学院 ， 中西医结合临床， 2007， 硕士

【摘要】 目的探腹腔镜下胆囊切除、胆总管探查(LC+LCBDE)与内镜逆行性胰胆管造影(ERCP)联合腹腔镜胆囊切除术(LC)治疗胆囊结石合并胆总管结石的术式选择及术后联合中药治疗的临床效果。方法回顾总结胆囊结石合并胆总管结石患者90例，采用LC+LCBDE52例，ERCP+LC38例手术治疗以及中药治疗的临床资料，从手术适应症、手术时间、并发症发生率、术后效果等进行了对比研究。结果两种术式手术适应症不同，应根据术前检查选择不同的手术方式，所有患者均无中转开腹，无病例死亡，未出现术后并发症，中药联合疗效好。结论两种术式各有适应症和优缺点，应根据具体情况采用安全有效的手术方式。无论选择何种术式，术后联合中药治疗值得临床推广。更多还原

【Abstract】 Objective: To evaluate the effect of LC+LCBDE and ERCP combinedLC on treating cholecysto-choledocholithiasis. Meanwhile observe theclinical effect of Traditional Chinese medicine applied after operationMethods: fifty-two patients with calculus of extrahepatic bile duct. weretreated by LC+LCBDE, and thirty-eight cases by ERCP combined withLC. The clinical data of the two groups was contrasted in the operationindication, time, cost, incidence rate of complication, operation effect andso on.Results: There have different operation indication. So we should choosethe different operation ways that LC+ERCP or LC+LCBDE by means ofpre-operation examine. All patients in the group were not transferredinto open—abdominal operation. There was no died case. Nocomplications has been found. Combined with Traditional Chinesemedicine has good clinical effectiveness.Conclusions: There are respective indication, advantages anddisadvantages in the two groups. Different operation should be adoptedaccording to specific condition. Whatever operative technique may beselected, combined with Traditional Chinese medicine treated afteroperation deserve clinical popularization.更多还原