腹腔镜联合胆管镜治疗胆囊合并胆总管结石的临床疗效分析

Clinical Effect of Laparoscope Combined with Choledochoscopy in Cholelithiasis and Choledocholithiasis

目的分析研究腹腔镜联合胆管镜治疗胆囊合并胆总管结石的临床疗效。方法回顾性分析2010年2月至2011年2月在我院治疗的48例胆囊合并胆总管结石患者的临床资料。将48例患者随机分为观察组和对照组,各24例,观察组行腹腔镜联合胆管镜取石术,对照组行传统开腹手术。观察比较两组患者手术时间、术中出血量、进食时间、腹腔流量、住院时间。结果两组患者手术时间比较差异无统计学意义(P>0.05);观察组术中出血量、进食时间、腹腔流量、住院时间与对照组比较差异有统计学意义(P<0.05);两组的并发症发生率比较差异有统计学意义(P<0.05)。结论腹腔镜联合胆管镜治疗胆囊结石合并胆总管结石疗效肯定、创伤小、术后恢复快且并发症少,值得临床推广应用。

Objective To investigate the clinical effect of laparoscope combined with endoscope in cholelithiasis and choledocholithiasis.Methods A retrospective analysis of clinical data was conducted in 48 patients with cholelithiasis and choledocholithiasis who were admitted in our hospital from February 2010 to February 2011,and they were randomly divided into observation group and control group,each group contained 24 cases.The observation group were treated with laparoscope combined with endoscope,the control group were treated with traditional open surgery,the operative time,blood loss,eating time,the abdominal cavity flow and hospitalization time were compared.Results The diffence of operation time have no significance in the two groups（P0.05）.The difference of the blood,eating time,hospitalization time,peritoneal cavity flow had significance in two groups（P0.05）.Hospitalization and complication rate of the two groups were significantly different（P0.05）.Conclusion Laparoscope combined with endoscope in treatment of cholelithiasis and choledocholithiasis has advantages such as confirmed effective,little trauma,rapid recovery and less complications,which is worthy of clinical application.