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双镜联合治疗胆囊结石合并胆总管结石的策略分析
作者:李品青1  欧希龙2 
单位:1. 东南大学 医学院, 江苏 南京 210009;
2. 东南大学附属中大医院 消化内科, 江苏 南京 210009
关键词:胆囊结石 胆总管结石 双镜联合 文献综述 
分类号:R575.7
出版年·卷·期(页码):2017·36·第六期(1028-1031)
摘要:

胆囊结石合并胆总管结石的传统治疗手段为开腹胆囊切除+胆总管探查+T管引流,尽管该方法疗效确切,但创伤较大。随着腔镜技术经验的累积、微创理念的深入,胆囊结石合并胆总管结石的治疗方法出现巨大变革,现阶段常用的微创治疗方法有两种:腹腔镜胆囊切除术联合内镜逆行胰胆管造影/内镜下括约肌切开取石术及腹腔镜联合胆道镜胆总管探查术,根据内镜治疗的时相、取石途径、胆管缝合方式等不同,具体操作方法也不同。本文作者对各种方法的优点、缺点、适应证和并发症作一综述,为临床上选择治疗方法提供一定的依据。

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