胆道镜联合手术治疗肝胆管结石50例的临床分析

Clinical analysis of 50 cases of hepatolith treated by choledochoscope in combination with surgery

目的：探究胆道镜联合手术治疗肝胆管结石的临床疗效．方法：选取我院收治的100例肝胆管结石患者为研究对象，按照手术方式的不同，分为对照组（传统开腹手术）与观察组（胆道镜联合手术），观察两组的临床疗效及并发症情况．结果：观察组术中出血量、肛门排气时间、住院时间、术后切口感染及疼痛明显优于对照组（P＜0．05），差异有统计学意义．结论：胆道镜联合手术治疗肝胆管结石疗效确切，术后并发症少，可在临床推广及使用．

AIM：To explore the clinical curative effect of cho-ledochoscope in combination with surgery for the treatment of hepatolith.METHODS：100 cases of patients with hepatolith admitted to our hospital were selected as the research object,according to the different methods of operation,and were divided into control group （conventional laparotomy）and observation group （cho-ledochoscope combined with surgery）,to observe the clinical curative effect and complications of the two groups.RESULTS：Intraoperative blood loss,length of hospital stay,anal exhaust time, postoperative incision infection,and the pain in observation group are better than the control group,the difference was statistically significant （P〈0.05）.CONCLUSION：Choledochoscope combined with surgery is clinically effective for the treatment of hepatolith with less postoperative complications,so it can be promoted in clinic.