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本文内镜合用是指应用纤维十二指肠镜行内镜下逆行性胰胆管造影术(ERCP)、十二指肠乳头切开术(EST),网蓝取出胆总管结石,然后应用腹腔镜完成胆囊切除术.这一方法对胆系结石的治疗又开辟了一条新的途径.本院自1995年4月～1999年12月治疗11例患者,近期效果良好,现报告如下:1 临床资料1.1 一般资料:本组11例,男2例,女9例.年龄45岁～65岁,平均53岁.所有病人术前均行B超检查诊断为胆囊结石,2例合并胆总管结石,5例胆总管直径在1.0～1.3cm,故经ER-CP检查证实胆总管结石.4例在外院行腹腔镜胆囊切除术(LC)后,因上腹部仍有症状,而经ERCP检查发现胆总管结石.11例病人术前均有不同程度的胆绞痛发作史.病史最短8个月,最长2年3个月.其中2例发生梗阻性黄疸、胆管炎.
Endoscopic application of this paper refers to the application of fiber endoscopic retrograde cholangiopancreatography (ERCP), duodenal papillae (EST), net blue removed common bile duct stones, and then the application of laparoscopy Complete cholecystectomy.This method has opened up a new way for the treatment of gallstone.Our hospital from April 1995 to December 1999 for the treatment of 11 patients, the recent good results are as follows: 1 clinical data 1.1 General Information: The group of 11 patients, 2 males and 9 females. Aged 45 years to 65 years, mean 53 years .All patients underwent preoperative B-ultrasound diagnosis of gallstone, 2 cases of common bile duct stones, 5 Cases of common bile duct diameter of 1.0 ~ 1.3cm, so by ER-CP examination confirmed common bile duct stones .4 cases of laparoscopic cholecystectomy (LC) outside the hospital, due to the upper abdomen still have symptoms, and by ERCP examination found that the common bile duct Stones, 11 patients had different degrees of preoperative bile colic attack history of the shortest history of 8 months, up to 2 years and 3 months, of which 2 cases of obstructive jaundice and cholangitis.