腹腔镜联合胆道镜治疗肝内外胆管结石效果分析

Effect analysis of laparoscopy combined with choledochoscopy for bile duct stones

目的探讨腹腔镜联合胆道镜治疗肝内外胆管结石的临床效果。方法选择40例患者使用腹腔镜联合胆道镜治疗,并与常规使用胆总管开放切开患者比较手术时间、术中出血、术后下床时间以及总住院时间等,同时统计两组发生的并发症情况。结果观察组手术时间显著短于对照组(P<0.05),术中出血显著少于对照组(P<0.05),同时患者术后下床时间显著快于对照组(P<0.05),总住院时间显著短于对照组(P<0.05);观察组发生胆源性胰腺炎、胆道出血和胆漏的比例均显著低于对照组(P<0.05)。结论腹腔镜联合胆道镜取石术能有效地减少患者术中损伤,提高取石效率,减少术后并发症,值得临床推广。

Objective To investigate the effect of laparoscopy combined with choledochoscopy for bile duct stones. Methods Forty cases were given the treatment of laparoscopy combined with choledochoscopy, while another 40 cases were taken open tracheotomy. Operation time, intraoperative blood loss, postoperative ambulation time and total hospitalization time were compared between the two groups; complications of the two groups were also recorded at the same time. Results The operation time of observation group was faster than that of control group （P 0.05）, intraoperative bleeding was less than that of control group （P 0.05）, postoperative ambulation time was faster than that of control group （P 0.05）, total hospitalization time was shorter than that of control group （P 0.05）. Occurrence of biliary pancreatitis, biliary tract bleeding and bile leakage ratio in observation group were lower than in control group （P 0.05）. Conclusion Laparoscopy combined with choledochoscopy for lithotomy can effectively reduce intraoperative injury, improve efficiency of stone removal and decrease postoperative complications. It is worth of clinical application.