双镜联合胆总管切开取石胆管一期缝合胆管自脱落支架置入术治疗胆总管结石的效果观察

Clinical observation of laparoscopic common bile duct exploration bile duct suture since shedding biliary stents in treatment of choledocholithiasis

目的探讨双镜联合胆总管切开取石胆管一期缝合胆管自脱落支架置入术治疗胆总管结石的临床效果。方法选取本院2011年1月~2014年8月收治的胆总管结石患者50例,其中20例（治疗组）行双镜联合胆总管切开取石胆管一期缝合胆管自脱落支架置入术,30例（对照组）行逆行胰胆管造影＋内镜下十二指肠乳头括约肌切开取石。比较两组的手术时间、住院时间、住院费用及并发症等。结果治疗组手术时间长于对照组,差异有统计学意义（P〈0.05）。两组住院时间、住院费用及并发症发生率差异无统计学意义（P〉0.05）。结论双镜联合胆总管切开取石胆管一期缝合胆管自脱落支架置入术具有手术成功率高、术后并发症少等优点,值得临床推广。

Objective To investigate the clinical efficacy of laparoscopic common bile duct exploration bile duct suture since shedding biliary stents in treatment of choledocholithiasis. Methods 50 patients with choledocholithiasis treated in our hospital From January 2011 to August 2014 were selected,20 patients（treatment group） were taken with laparoscopic common bile duct exploration bile duct suture since shedding biliary stents,30 cases（control group） were taken with endoscopic retrograde cholangiopancreatography and endoscopic sphincterotomy.The operation time,length of hospital stay,hospital charges and complications of two groups were compared. Results The operation time of treatment group was longer than that of control group,the difference was significant（P〈0.05）.The length of hospital stay,hospital charges and complications of two groups had no significant difference（P〉0.05）. Conclusion Laparoscopic common bile duct exploration bile duct suture since shedding biliary stents has higher surgical success rate,less complications,and is worth promoting in clinic.