腹腔镜联合胆道镜治疗胆总管结石临床研究

Clinical Study of Laparoscope Combined with Choledochoscope in the Treatment of Common Bile Duct Stones

目的研究观察腹腔镜联合胆道镜治疗胆总管结石的临床效果。方法整群选取研究者所在医院肝胆外科,自2012年4月—2014年3月期间该院收治的胆总管结石患者124例作为研究对象,将其随机分成观察组和对照组,每组62例,观察组采取腹腔镜联合胆道镜胆道探查取石术治疗,对照组采取开腹取石术治疗,比较两组临床疗效。结果观察组与对照组患者的结石清除手术均获成功;手术后2组患者的结石复发率比较,差异无统计学意义(P>0.05);观察组出血量、手术切口长度、术后并发症发生率均优于对照组,组间差异有统计学意义(P<0.05)。结论腹腔镜联合胆道镜治疗胆总管结石的临床效果良好,可在临床上推广。

Objective To observe the clinical effect of laparoscope combined with choledochoscope in the treatment of com-mon bile duct stones. Methods 124 patients with common bile duct stones admitted in Department of Hepatobiliary Surgery of our hospital from April 2012 to March 2014 were selected as the subjects and randomly divided into the observation group and the control group with 62 cases in each. Patients in the observation group were treated by the common bile duct exploration and removing the stone with laparoscope and choledochoscope, while the control group were treated by open surgery for removal of the stones. And the clinical efficacy of the two groups was compared. Results The stone removal surgery was successfully implemented in both groups. The difference in the postoperative stone recurrence between the two groups was not statistically significant（P〉0.05）. The observation group had less amount of bleeding, shorter length of incision and lower postoperative complication rate than the control group, with statistically significant differences （P〈0.05）. Conclu-sion The clinical effect of laparoscope combined with choledochoscope in the treatment of common bile duct stones is good, and it can be popularized in clinic.