腹腔镜下胆道镜技术在保胆取石术中的应用研究

Research on choledochoscope paul gall stones in laparoscopic application results

目的:观察腹腔镜下胆道镜保胆取石术中的临床应用效果。方法:选择经临床诊断为胆囊结石合并肝外胆管结石患者45例,采用随机数字表法将患者分为观察组和对照组,其中观察组25例,对照组20例。观察组采用腹腔镜下纤维胆道镜保胆取石术;对照组采用腹腔镜胆囊切除术,比较两组患者的手术效果、手术及住院资料、术后并发症情况。结果:临床疗效在显效、有效、无效和治疗总有效率的比较具有统计学意义;住院时间、手术时间比较其结果具有统计学意义;患者在腹泻、脂肪泻、胰腺炎及结石复发等并发症的比较其结果具有统计学意义。结论:腹腔镜下纤维胆道镜保胆取石术能够有效提高治疗有效率,且具有手术时间短、术式简单易行等优点,同时术后易于对并发症的控制,是较好的胆囊合并胆管结石微创治疗手段。

Objective： To discuss the clinical application with choledochoscope paul gall stone under laparoscopic. Methods： Selected 45 cases of gallbladder stones with extrahepatic bile duct stones in patients as research subjects in the first general surgery 242 hospital of harbin from January 2010 until May 2013. used a random number table, patients were divided into two groups,25 cases in the observation group, used laparoscopic Choledochofiberscope Paul gall stone surgery; the control group of 20 patients, used laparoscopic cholecystectomy, compared surgicalresults, surgery and hospitalization data, postoperative complications situation. Results： Clinical efficacy markedly effective, ineffective, the total efficiency of the treatment was statistically significant; hospitalization, surgery time comparing the results with statistical significance; patients with diarrhea, complications steatorrhea, pancreatitis, stone recurrence comparison, the results are statistically significant. Conclusion： Paul Choledochofiberscope laparoscopic gall stone surgery can effectively improve the efficiency of treatment, and have shorter operative time, surgical advantages of simple, easy to control while surgery, gallbladder and bile duct stones are better minimally invasive treatment.