腹腔镜联合胆道镜治疗胆总管结石临床分析

Clinical Analysis of Laparoscopic Common Bile Duct Stones Therapy Combined With Choledochoscope

目的探讨腹腔镜联合胆道镜治疗胆总管结石的临床效果。方法收集我院2010年3月~2015年3月入院的60例行胆总管结石取出术的患者,随机分为两组。实验组患者给予腹腔镜联合胆道镜取石术,对照组患者给予传统开腹取石术,比较两组患者术中出血量、手术时间、术后排气时间、住院时间以及术后并发症等有关临床指标。结果实验组患者术中出血时间、手术时间、术后排气时间及住院时间低于对照组,差异具有统计学意义（P〈0.01）;实验组患者术后切口疼痛低于对照组,差异具有统计学意义（P〈0.01）。结论腹腔镜联合胆道镜治疗胆总管结石的临床效果显著。

Objective To investigate the laparoscopy combined choledochoseope choledocholithiasis clinical results. Methods 60 patients with common bile duct stones removed from our hospital from March 2010 to March 2015 were randomly divided into two groups. In the experimental group were treated with laparoscopic biliary lithotomy joint control group were treated with traditional open stone surgery, blood loss between the two groups of clinical patients, operative time, postoperative discharge time, hospitalization time and postoperative complications indicators. Results The patients in the experimental group bleeding time, operative time, postoperative exhaust time and length of hospital stay was significantly lower than the control group, there was a significant difference was statistically significant （P 〈0.01）, incision pain patients in the experimental group significantly lower than the control group, there was a significant difference was statistically significant （P〈0.01）. Conclusion Laparoscopic treatment combined with cholangioscopy choledocholithiasis significant clinical effect.