腹腔镜联合胆道镜治疗胆(肝)总管结石与常规开腹手术的临床疗效比较

The comparative clinical efficacy of Laparoscopic joint choledochoscope therapy and conventional laparotomy for the patients with Common Bile(Hepatic) Duct Calculi

目的探讨腹腔镜联合胆道镜治疗胆(肝)总管结石临床价值。方法选取近三年于我院就诊治疗的胆(肝)总管结石患者60例,常规治疗组30例,观察组30例。常规治疗组患者采用常规开腹手术进行治疗,而观察组患者则采用腹腔镜联合胆道镜的治疗手段。对两组患者的临床资料进行回顾性对比分析。结果观察组患者的术中出血量较少,手术下床时间、肛门排气时间以及住院时间均短于对照组,具有统计学差异。观察组患者的残石率、术后并发症发生率均明显低于对照组。结论腹腔镜联合胆道镜治疗胆(肝)总管结石可明显减轻患者的术后痛苦,减低术后并发症发生率和残石率,是值得临床推荐的胆(肝)总管结石治疗策略。

Objective To explore the clinical value of laparoscopy combined with bile duct endoscopy in the treatment of bile duct stones. Methods In the last three years, 60 cases who were diagnosed with the Common Bile （Hepatic） Duct Calculi were ehoosed, 30 cases were treated with conventional laparotomy, and 30 cases were treated with Laparoscopie joint choledochoscope therapy. The clinical situation of patients was tracked and recorded, and the clinical effects was contrasted. Results The amount of bleed- ing in the observation group was less than that in the conventional treatment group. The surgical bed time, anus exhaust time and hospi- tal stay in the obsercvation were shorter than the the conventional treatment group , with statistical difference （ P 〈 0.05 ）. In the observation, the residual stone rate and incidence of postoperative complications were significantly lower than the control group. Conclusion Laparoscopic joint choledochoscope therapy can can significantly reduce intraoperative pain of patients with Common Bile （Hepatic） Duct Calculi reduce the incidence of complication and residual stone rate, is worthy of clinical recommendations treatment strategies for Common Bile （Hepatic） Duct Calculi.