腹腔镜联合胆道镜治疗肝内外胆管结石效果分析

The analysis of treating bile duct calculi by laparoscopic combined choledochoscope

目的研究分析腹腔镜联合胆道镜治疗肝内外胆管结石的治疗方法和治疗效果。方法回顾性分析2010年6月-2012年6月期间,我院收治的64例肝内外胆结石患者的临床资料。按照患者治疗期间所接受的治疗方法不同,将64例患者随机分为两组:对照组32例,采用传统开腹手术治疗;观察组患者32例,采用腹腔镜联合胆道镜治疗。比较两组患者围手术阶段的一般情况,以及治疗后并发症的发生情况。结果治疗后观察组患者的手术时间、术中出血量、术后恢复时间等均优于对照组,两组比较差异明显,具有统计学意义,(P<0.05),且治疗后观察组患者的并发症发生率明显低于对照组,两组比较差异明显,具有统计学意义,(P<0.05)。结论腹腔镜联合胆道镜治疗肝内外胆管结石手术时间短、术中出血量少、术后恢复快、并发症少、疗效显著,值得临床推广。

Obejctive:To analyze the methods and effect of treating bile duct calculi by laparoscopic combined choledochoscope.Methods:Choosed 64 patients suffered bile duct calculi from Jun.2010 to Jun.2012 to divide into two groups:Controlled group were treated with traditional laparotomy,and study group were treated with laparoscopic combined choledochoscope.Results:The operation time,amount of bleeding,recovery time of study group were better than controlled group and there was significant difference between these two groups(p<0.05).Conclusion:Laparoscopic combined choledochoscope treating bile duct calculi could decrease operation time and amount of bleeding,and recovery quickly with less complication to extend in clinic.