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目的探讨经内镜治疗肝外胆管结石的价值。方法将２００例肝外胆管结石患者分为内镜治疗组（内镜组）及外科手术组（手术组）各１００例，内镜组首先完成经内镜胆胰管造影，诊断确立后即时行十二指肠乳头切开术及胆管取石术；手术组确诊后根据病情选择不同术式，行开腹手术。结果内镜组治愈率为９８％，手术组为９０％（Ｐ＜０．０１）；黄疸消退时间内镜组为（３．０５±０．１２）天，手术组为（７．８３±０．３２）天（Ｐ＜０．０１）；残余结石发生率内镜组为２％，手术组为１０％（Ｐ＜０．０１）；住院时间内镜组为（４．６２±０．１７）天，手术组为（２３．５９±２．７６）天（Ｐ＜０．０１）。结论经内镜治疗肝外胆管结石的疗效明显优于手术疗效，是一种安全可靠的治疗方法。
Objective To investigate the value of endoscopic treatment of extrahepatic bile duct stones. Methods 200 cases of extrahepatic bile duct stones were divided into endoscopic treatment group (endoscopic group) and surgical group (surgical group) of 100 cases, endoscopic group first completed by endoscopic cholangiopancreatography, diagnosis is established immediately after line Duodenal papillae and choledocholithiasis; surgery group after diagnosis according to the disease to choose different surgical procedures, open laparotomy. Results The cure rate of endoscopic group was 98% and that of surgical group was 90% (P <0.01). The jaundice subsided time was (3.05 ± 0.12) days and that of operative group was (7.83 ± 0) .32) days (P <0.01). The incidence of residual stones was 2% in endoscopy group and 10% in operation group (P <0.01) ) Days, the operation group was (23.59 ± 2.76) days (P <0.01). Conclusion The efficacy of endoscopic treatment of extrahepatic bile duct stones is superior to surgical treatment, which is a safe and reliable treatment.