胆囊结石合并胆总管结石微创治疗与传统手术治疗比较分析

Comparative Analysis of Minimally Invasive Treatment with Traditional Surgery for Gallstones and Biliary Calculi Patients

目的：分析胆囊结石合并胆总管结石微创治疗与传统手术治疗的临床疗效。方法 ：将2013年12月~2015年2月胆囊结石合并胆总管结石74例随机分为两组,每组37例。对照组采用传统开腹手术治疗,观察组采用微创手术治疗,观察两组疗效及并发症情况。结果：观察组手术成功率为97.3%,与对照组94.6%比较无统计学差异（P〉0.05）;观察组并发症发生率为8.1%,明显低于对照组的27.0%（P〈0.05）;观察组胃肠功能恢复时间及住院时间,明显优于对照组（P〈0.05）。结论：在胆囊结石合并胆总管结石的治疗方案中,腹腔镜与内镜联合下行微创外科手术方案效果确切,并发症发生少,术后有利于患者康复,缩短了住院时间,值得推广应用。

Objective： To compare the clinical effect of minimally invasive treatment with traditional surgery for patients with gallbladder and common bile duct stones. Methods： 74 Patients with gallstones and biliary calculi were randomly divided into two groups during December 2013 to February 2015, 37 cases for each group. The control group received traditional open surgery, the observation group received minimally invasive surgery. Effects and complications were observed in two groups. Results： In the observation group surgical success rate was 97.3%, and 94.6% for the control group, there was no statistical significance（P0.05）. In the observation group complication rate was 8.1%, significantly low than that in the control group（27.0%, P0.05）. Gastrointestinal function recovery time and hospital stay in observation group were better than that in the control group（P0.05）. Conclusion： For biliary stones gallstone patients laparoscopic and endoscopic minimally invasive surgical solutions have good effect, fewer complications and better postoperative rehabilitation, greatly reducing the length of hospital stay, it is worthy of promotion in clinical application.