| 内镜与腹腔镜、胆道镜联合治疗胆石症 |
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| 引用本文： | 钟亮玉,吴静,常青,詹红.内镜与腹腔镜、胆道镜联合治疗胆石症[J].中国内镜杂志,2004,10(10):55-56,59. |
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| 作者姓名： | 钟亮玉 吴静 常青 詹红 |
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| 作者单位： | 广州医学院第一附属医院,消化内科,广东,广州,510120 |
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| 摘 要： | 目的 探讨多种微创治疗手段联合治疗胆囊结石合并胆管结石、腹腔镜胆囊切除术后胆管残留结石。方法 运用内镜十二指肠乳头括约肌切开术(EST)、腹腔镜胆总管探查术及术中胆道镜，对82例胆总管结石患者进行治疗。结果 68例行EST，66例胆管取石成功，14例配合术中胆道镜下取石者，12例取石成功。结论 三镜联合治疗胆石症是切实可行和安全可靠的，该术式可代替大部分开腹胆总管探查术。
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| 关 键 词： | 消化内镜 腹腔镜 胆道镜 胆石症 治疗 |
| 文章编号： | 1007-1989(2004)10-0055-02 |
Combined duodenoscopy,laparoscopy and choledochoscopy in treating chledocholithiasis |
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| ZHONG Liang-yu,WU Jing,CHANG Qing,ZHAN Hong.Combined duodenoscopy,laparoscopy and choledochoscopy in treating chledocholithiasis[J].China Journal of Endoscopy,2004,10(10):55-56,59. |
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| Authors: | ZHONG Liang-yu WU Jing CHANG Qing ZHAN Hong |
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| Abstract: | Objective: The significance of multiple endoscopies being combined to extract choledocholith and bile duct residual stones (after laparoscopy cholecystectomy) was evaluated. Methods: 82 choledocholithiasis patients were admitted and received the therapeutical procedures, ie. Endoscopic sphincterotomy (EST), laparoscopic common bile duct exploration and choledochoscopy used during operation. Results: It was realized by satisfactory outcome: Among 68 patients who were adopted by EST, 66 cases succeeded. The same effects were appear in 12 cases among 14 patients who were used choleclothoscopy during operation. Conclusion: The combined duodenoscopy, laparoscopy and choledochoscopy are paraticable and safe. The operation can substitute most open choledocholithotomy. |
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| Keywords: | endoscopy laparoscopy choledochoscopy cholelithiosis therapy |
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