电子纤维胆道软镜、腹腔镜联合治疗胆囊结石伴急性胆源性胰腺炎与预后分析

Analysis of Prognosis and Prognosis of Gallstone Combined with Acute Biliary Pancreatitis Treated with Electronic Fiber Choledochoscope and Laparoscopy

目的:探究电子纤维胆道软镜、腹腔镜联合治疗方法对胆囊结石伴急性胆源性胰腺炎患者的临床疗效及预后的影响。方法:选取于2013年2月—2017年8月来医院就诊的胆囊结石伴急性胆源性胰腺炎共120例进行回顾性分析,将所有患者分为对照组(n=60)和观察组(n=60)。对照组采取传统开腹治疗而观察组采取电子纤维胆道软镜、腹腔镜联合治疗方法,比较两组患者临床疗效、手术一般情况、不良事件发生率及预后的情况。结果:对照组总有效率为80%,观察组总有效率为90%。观察组治疗总有效率高于对照组。对照组术后不良事件发生率为45%;观察组术后不良事件发生率为10%。观察组术后不良事件发生率低于对照组且差异有统计学意义(P <0.05)。术中出血量、术后肛门排气时间和住院时间小于对照组,且差异有统计学意义(P<0.05)。结论:电子纤维胆道软镜、腹腔镜联合微创治疗临床疗效更加显著,值得在临床进行推广与应用。

Objective: To retrospectively investigate the clinical efficacy and prognosis of minimally invasive laparoscopic cholecystectomy in patients with gallstone associated with acute biliary pancreatitis. Methods: A total of 120 patients with gallstone and acute biliary pancreatitis who received treatment in hospital from February 2013 to August 2017 were retrospectively analyzed. All patients were divided into control group(n=60)and observation group(n=60). The control group was treated with traditional laparotomy, while the observation group was treated with laparoscopic minimally invasive treatment. The clinical efficacy, general operation condition, incidence of adverse events and prognosis of the two groups were compared. Results: The total effective rate of the control group was 80%, and the total effective rate of the observation group was 90%. The total effective rate of the observation group was higher than that of the control group. The incidence of adverse events in the control group was 45%, and the incidence of adverse events in the observation group was 10%. The incidence of adverse events in the observation group was lower than that in the control group, and the difference was statistically significant(P<0.05). Intraoperative blood loss, postoperative anal exhaust time and hospitalization time were less than those of the control group, and the difference was statistically significant(P<0.05). Conclusion: Laparoscopic minimally invasive treatment of clinical efficacy is more significant is worthy of clinical promotion and application.