内镜及腹腔镜联合治疗胆囊结石合并胆总管结石的疗效观察

The Effect Analysis of Combined Application Endoscopic and Laparoscopic in the Treatment of Gallstone with Choledocholithiasis

目的:统计分析内镜及腹腔镜联合治疗胆囊结石合并胆总管结石的疗效,探讨内镜及腹腔镜联合治疗的应用价值。方法:选取2010年1月-2012年1月本院手术治疗的胆囊结石合并胆总管结石患者100例,按照随机对照的原则,分为观察组50例和对照组50例。观察组实行内镜及腹腔镜联合手术治疗,对照组行传统开腹手术治疗,术后进行临床相关统计并随访。结果:观察组手术时间比对照组长,但其差异无统计学意义(P>0.05),出血量、住院天数、手术治疗效果方面优于对照组,并发症少于对照组,差异具有统计学意义(P<0.05)。结论:内镜及腹腔镜联合治疗符合微创、出血少、手术应激少、恢复快的特点,并发症少,且能缩短住院时间,较传统开腹手术有显著优势,有较高的临床应用价值,临床应广泛推广。

Objective：To analyze the effect of combined application endoscopic and laparoscopic in the treatment of gallstone with choledocholithiasis. Method：100 patients with gallstone and choledocholithiasis were randomly divided into objective group and control group. The objective group was used endoscopic and laparoscopic in the operation and the control group was used traditional laparotomy. The difference of clinical curative effect and the related indics were compared. Result：The observation group operation time was longer than the contrast group,but there was no statistically significant difference（P〉0.05）,blood loss,hospitalization days and the surgical treatment effect were better than that in control group, complications was less than the control group,the differences were statistically significant（P〈0.05）. Conclusion：Endoscopic and laparoscopic combined treatment in accordance with minimally invasive,less bleeding,less surgical stress,restore fast characteristic,fewer complications,and can shorten the length of hospital stay,has significant advantages compare with traditional laparotomy,had a higher clinical value,should be widely popularized in clinical.