腹腔镜胆道镜结合治疗胆总管结石的疗效分析

Analysis of the Efficacy of Laparoscopic Treatment of Common Bile Duct Stones With a Combination of Laparoscopy and Endoscopy

目的分析腹腔镜与胆道镜联合使用对胆总管结石的治疗效果。方法选择我院70例胆管结石患者,按照手术方式不同,将其分为两组,观察组接受腹腔镜联合胆道镜治疗,对照组接受常规开腹治疗,对两组患者手术情况及术后并发情况进行比较。结果 (1)观察组术中出血量、排气时间、手术时间、住院时间指标均要优于于对照组,差异有统计学意义(P<0.05);(2)术后并发症发生率观察组(8.57%)明显低于对照组(17.14%),差异有统计学意义(P<0.05)。结论腹腔镜与胆道镜联合治疗胆管结石,术中指标改善明显,术后并发症减少,更加利于患者康复。

ObjectiveTo analyze the clinical effect of laparoscopic combined with endoscopic in biliary choledocholithiasis.Methods70 cases of choledocholithiasis in our hospital were divided into two groups according to the operation in different ways, the observation group underwent laparoscopic joint choledochoscope treatment, the control group received conventional open treatment, patients in both groups surgery and postoperative conditions were compared.Results（1） The observation group blood loss, exhaust time, operative time, length of stay indicators are better than in the control group, the difference was statisticaly significant （P〈0.05）; （2） the incidence of postoperative complications was observed group （8.57%） was significantly lower than the control group （17.14%）, the difference was statisticaly significant （P〈0.05）.Conclusion Laparoscopic and endoscopic treatment of biliary bile duct stones, intraoperative parameters were significantly improved, reducing postoperative complications, and more conducive to the rehabilitation of patients.