两种术式在治疗老年患者胆囊结石合并胆总管结石中的应用体会

摘要

[Objective] To study the curative effect and the surgical choice of LC+LCBDE and ERCP+LC for cholelithiasis associated with choledocholithiasis in senile patients. [Methods] The clinical data of 117 cases of LCBDE and 176 cases of ERCP+LC performed in our hospital from January 2004 to January 2010 were analyzed retrospectively. [Results] Compared with the method of LCBDE, hospital cost was higher, but there was no difference in the surgical outcomes and hospital stay. [Conclusion] ERCP+LC is a feasible and safe method as LC+ LCBDE for cholelithiasis associated with choledocholithiasis in selected senile patients.%目的 探讨腹腔镜胆囊切除术(LC)+胆总管探查术(LCBDE)与逆行胰胆管造影(ERCP)+腹腔镜胆囊切除术(LC)治疗胆囊结石合并胆总管结石的老年患者的临床效果及术式选择.方法 回顾分析该院2004年1月～2010年1月施行的LC+LCBDE病例117例和ERCP+LC病例176例老年患者的临床资料,对手术疗效、住院时间及住院费用进行对比分析.结果 两种治疗方式在治疗效果及住院时间上差异无显著性,但在住院费用上,ERCP+LC组较LCBDE组高,差异有显著性.结论对于有胆囊结石合并胆总管结石的老年患者,在符合ERCP适应证的前提下,ERCP+LC是同样有效安全的治疗方案.