胆总管结石经内镜取石与开腹手术治疗临床疗效比较

Comparison of common bile duct stone treatment effects between endoscopy and surgery

目的对经内镜取石与外科开腹手术治疗胆总管结石的临床疗效及并发症等进行比较。方法 2007年3月～2011年2月,我院治疗胆总管结石70例,29例经内镜取石治疗(内镜组),41例外科开腹手术治疗(手术组),比较2组治疗的效果。结果内镜组和外科开腹手术组取石成功率分别为82.8%(24/29),87.8%(36/41);术后并发症发生率内镜组为0%,外科手术组9.8%(4/41);残余结石发生率内镜组与手术组分别为17.2%(5/29),12.2%(5/41),2组差异无显著。住院时间内镜组为(14.24±7.40)d,手术组为(28.1±12.5)d,术后住院时间内镜组为(7.5±5.2)s,手术组为(21.2±9.5)d。2组比较差异有统计学意义。结论经内镜胆总管取石治疗创伤小、术后恢复快,可与外科手术治疗胆总管结石互补。

Objective To compare the different clinical effects between endoscopy and surgery in the treatment of common bile duct stones.Methods The clinical data of 70 patients diagnosed as common bile duct stones from March 2007 to February 2011 were observed,among whom 29 were in endoscope group and 41 in surgery group.Results The result showed that the cure rate was 82.8% in the endoscope treatment group and 87.8% in the surgery group.The rate of remaining stone was 17.2% and 12.2% respectively.There was no significant difference between the two groups.The hospitalization of endoscope and surgery group was 14.2±7.4 days and 28.1±12.5 days respectively.Conclusion The endoscope treatment is a safe and effective means for the treatment of common bile duct stones.