硬镜微创保胆取石术治疗胆囊结石的疗效观察

Effect Observation of Mini Compact Nephroscope in Gallbladder Stones through Endoscope with Gallbladder Preserved

目的：探讨经硬性胆道镜微创保胆取石术治疗胆囊结石的疗效。方法：回顾性分析2008年6月-2012年5月本院收治的987例胆囊结石的患者，均采用硬镜微创保胆取石术进行治疗，对所有患者随访2~6年，行B超复查，统计复查结果。结果：785例电话回访成功，随访率79.5%。70例胆囊结石复发，复发率为8.92%，其中合并10例急性胆囊炎、15例萎缩性胆囊炎均结石复发；单纯胆囊结石复发率为5.73%。结论：硬镜微创保胆取石术治疗胆囊结石术后虽有结石复发，但如果严格控制手术适应证，结石复发率明显降低，同时保留了胆囊的功能，防止了可能的胆管损伤，是治疗胆囊结石的一种安全、有效的方法。

Objective：To investigate the effect of using mini compact nephroscope in gallbladder stones through endoscope with gallbladder preserved.Method：987 cases of gallbladder stones were dealt with mini compact nephroscope through endoscope with gallbladder preserved from Jun 2008 to May 2012 in our hospital. All the subjects were followed up by 2-6 years,and were re-examined by type B ultrasound,the review results were statistical.Result：785 cases in telephone return visit with the reply and the follow-up rate was 79.5%.70 cases were suffered from gallbladder stones recurrence,and the recurrence rate was 8.92%. In the recurrence cases,there were 10 cases of chronic cholecystitis, 15 cases of atrophic cholecystitis. The recurrence rate was 5.73%when excluded the patients with these two diseases. Conclusion：Although the application of mini compact nephroscope in gallbladder stones through endoscope with gallbladder preserved in gallbladder stones recurrence,but if the operation indication strictly,it can significantly decrease gallstone recurrence rate,retain the function of gallbladder,and prevent the possibility of bile duct injury.It is a safe and effective technology.