胆道镜对肝胆管结石患者的作用观察

Observation the role of choledochoscope bile duct stones in patients

目的:探讨胆道镜联合腹腔镜治疗对肝胆管结石患者的临床应用价值。方法:将2009年6月～2010年9月入本院治疗的100例肝胆管结石患者随机划分为治疗组(胆道镜联合腹腔镜手术组)和对照组(开腹手术组),每组各50例患者,对比研究两组手术过程及结果的相关指标,包括平均手术时间、术后排气恢复时间、术中出血量、术后疼痛率、术后并发症、住院天数等。结果:治疗组平均手术时间显著大于对照组(P<0.05);术后排气恢复时间、术中出血量、术后疼痛率、术后住院时间、切口感染率均显著低于对照组(P<0.05);术后结石残余率、术后胆瘘两组差异无统计学意义(P>0.05);术后肝功能恢复治疗组例数大于对照组,差异有统计学意义(P<0.05)。结论:胆道镜联合腹腔镜治疗胆总管结石不仅创伤面小,而且术后恢复快,安全可靠,值得在临床上进一步推广应用。

Objective：To evaluate laparoscopic treatment of biliaryen doscopic bile duct stones in patients on the clinical value.Methods：From June 2009 to September 2010 in our hospital 100 cases of hepatolithiasis patients were randomly divided into treatment group（biliary endoscopic laparoscopic surgery group） and control group（laparotomy group）,and each group of 50 patients,compared two groups of surgical procedures and results of relevant indicators,including average surgery time,the exhaust recovery time,blood loss,postoperative pain,rate of postoperative complications,hospital stay,etc..Results：The comparison control group,treatment group,the average operation time was significantly greater than the control group（P0.05）;exhaust recovery time after surgery,blood loss,postoperative pain rate,postoperative hospital stay,wound infection rates were significantly lower than the control group（P0.05）;postoperative residual stone rate of biliary fistula after surgery there was no significant difference（P0.05）;recovery of liver function after the number of cases in treatment group than the control group,there was significant significant difference（P0.05）.Conclusion：Laparoscopic treatment of biliary endoscopic common bile duct stones not only face a small wound,and rapid recovery,safe,reliable,worthy of further application in clinical practice.