1、腹腔镜联合术中胆管造影、括约肌切开术序贯诊治胆结石病 5 年经验总结!“#$#%()*+,*(-,./*01,2+31,3*42.563)7*(1)3-81./*069-*9)(/25:.563)*(1)3-81;6*+,*(-,=(/-6,31)*3*425:;=.5:.5:;=#$%$?A%B#$%5:.5:.5:;=C“?ACCB#$%CC?$ACDBCC%?#A#$?$#A#$?$#A#$?$#AE$?$EA“?F5:.5:.5:;=G%!FHI#$CJ%$E$E=K(0J=$!FJ$“!“#“$%#()%*+,-+-%.,%./(0+12(-)(0-$“%#+$“-(3+)%*“04
2、4(%4$“#),“01+01%#(#)(0-+$%-%.,5%$-)+-$+“-.+0-%5)%*+,-%)%*+1%)%*(-)(“(6!“#$%()*+,#-./.“0(#1.234(56,#47.8!“9:;(1.2“7=(.#$#(?59(1!.#$A7“,“#$#%B7(#.7/-$“-8/9+-(3+*180K313/11LL1,3+*L()*+,*(-,/*01,2+31,3*42.,*4M-61N-3/-63)*(71)3-81,/*0699-*9)(/25:.6-63)*(1)3-8116*+,*(-,+(/-6,31)*3*425:;=L*)3/13)134163*L,/
3、*01,2+3*7,/*01*,*0-3/-+-+H:+-)%1#$%,+1+N-3/,/*01,2+3*,/*01*,*0-3/-+-+-96*+163)131M2.,*4M-61N-3/5:.65:;=N1)1)18-1N1)13)*+(1,3-8102H;+*-%$?$A%B#$%(3-163+-96*+1,/*010-3/-+-+()1J.N1)1L*K6,/*01*,/*0-3/-+-+.,*4M-61N-3/5:.65:;=N+K,1+LK002(1)L*)41*6CC*L#$%,+1+C“?$A63/1-).OP+3*61+N1)1,*4(013102,01)1-6CD*LCC,
4、+1+CC?$AH=-Q,+1+%?#AN1)1,*4(0-,31N-3/4-0,K31(6,)13-3-+#,+1$?$#AN-3/K*160(1)L*)3-*6#,+1$?$#AN-3/M-0101R7916E,+1+$?$EAN-3/+3*4,/+3+-+H=%0*(%0.,*4M-61N-3/5:.65:;=N+L11L7L1,3-81()*,/3*-96*+-+64-6-4002-68+-813)134163*L,/*01,2+3*,/*01*,/*0-3/-+-+H+,2%$1()*+,*(-,/*01,2+31,3*42563)*(1)3-81,/*069-*9)(/2.*44*
5、6M-01K,3+3*61;67*+,*(-,+(/-6,31)*3*42()*+,*(-,./*01,2+31,3*742.#$AS#!A.*44*6O-01PK,3=3*61.OP=C$A#7“#CCF#E.563)*(1)3-81./*069-*9)(/25:.563)*(1)3-81;6*+,*(-,=(/-6,31)*3*425:;=.OP=#$%EFFC#FSFDD?!#%.OP=E%#!E#!“#$%“$%“()*$%+*,%-./012345664576,4566+8“9$%+*,:/:/;/%-./1235=?66AB-3CDECCF+(!66+(!:G66#“()H/$%+
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8、HHDIDFJFABKHLM#NBOPBQDHL:LBC:FKDABDARK:HPB:HKDSBQNLHA?D?:HPNTDALHPH:OQPDQQNLBQTOKBQK=TMNDAE9BPHKUDLDH:T“F:?3007$83,33,5M89A?*BCBDVHWDAX:O):TAB:BKHLMAK:HPB:HKDSBBAGOQPDQOPNDAQKB:K=TGF:DA?LHPH:OQPDQQNLBQTOKBQK=TMY:LGEVHOK:BARKB:8,+$7$1,M5ZFLL=HA!):QNZ%DAGOK:=!BKHLMWHAH?B=BAKCUDLBGFQKOKABODAKNBB:HCLHPH
9、:OQPDQQNLBQTOKBQK=THPP:HDOHLC:FKDABPB:HKDSBQNLHA?D?:HPNTHAGBAGOQPDQK:BHK=BAKM!F:E“F:?300+3+874577,M$#:DQH:DQDQABV“DWBKHLM!AGLHPH:OQPDQ:BAGBSFOK:BHK=BAKHOHKDOCTDA?KNB:HPBFKDQQNDQBC:QNLBQTOKQNLBGQLDKNDHODOM“F:?!AGOQ8,83+$171177M1DK?DUUAO;E*BBD;ZWH:KDAB“EBKHLM!D?NKTBH:OB_PB:DBAQBDKNKNBFOBCHK:HAOQTOKDQQ
10、=AUDLBGFQKGFGBAHLGFULBLF=BAQHKNBKB:C:KNBK:BHK=BAKCQNLBGQNLDKNDHODOM“F:?B:TM300738$+004,1M*DOQFOODA4,14,+M+aBQQND;WHQCHGTBA)aM%HPH:OQPDQQ=AUDLBGFQKB_PL:HKDAM%HA?BAUBQO:QN“F:?8,85743$11$M4%DF%!GH:G“%HDNFA?WHF%BKHLM=UDABGLHPH:OQPDQHAGBAGOQPDQHPP:HQNDAPHKDBAKODKNQNLBLDKNDHODOHAGQNLBGQNLDKNDRHODOM“F:?B:T
11、300+33015$154M7HSDAH!:HAQBOQNW“DGCDBKHLM%HPH:BAGOQPDQ:BAGSFOHABKBQNADbFBDAKNBQNLBGQNLDKNDHODOK:BHK=BAKM9BPHK?HORK:BAKB:L?T3007$13$5,3$51M0ZNFKWcHGH*!WH:B#BKHLMQQF:HQTCLDABH:BAGROQPDQFLK:HOA?:HPNTDAKNBBSHLFHKDACPHKDBAKODKNOFOPBQKBGQ=AUDLBGFQKOKABOM!AGOQPT8,85$8005,5M3,WDO:H“*DSBGDWM=PLDQHKDACBAGOQPDQ:BK:?:HGBQNLHAR?DPHAQ:BHK?:HPNTHAGBAGOQPDQOPNDAQKB:K=TGDH?AODO=HAH?BR=BAKHAGP:BSBAKDAMcHKLWBGEAGDH8,83138453M
