双镜结合选择性术中胆道造影治疗胆囊炎急性发作64例

Analysis of 64 cases of acute cholecystitis with acute episode of cholecystitis by double mirror and selective operation

目的：探讨双镜结合选择性术中胆道造影治疗胆囊炎急性发作的临床效果。方法选取胆囊炎急性发作患者128例进行分析，分为观察组与对照组，每组64例，观察组患者采用腹腔镜联合胆道镜结合选择性术中胆道造影治疗，对照组患者采用传统的开腹胆囊切除术、胆总管切开取石术、T 管引流术。观察两组患者术后恢复情况，比较两组患者胆管结石、损伤程度及术后并发症如胆屡、胆道出血、膈下脓肿、胆道狭窄及胆道感染等发生情况。结果观察组术后胆管结石率及胆管损伤率显著低于对照组，差异有统计学意义（P ﹤0.05）；观察组并发症发生情况优于对照组，差异有统计学意义（P ﹤0.05）。结论腹腔镜联合胆道镜结合选择性术中胆道造影治疗急性发作性胆囊炎对患者造成的创伤小，恢复快、康复效果良好，并有效改善了患者的生活质量，且安全有效，值得临床上推广。

Objective To investigate the clinical effect of double mirror combined with selective operation in the treatment of acute cholecystitis with acute cholecystitis. Methods One hundred and twenty-eight patients with acute cholecystitis were randomly selected. All the patients were divided into observation group and control group with 64 cases in each group. The observation group were treated with laparoscopy and biliary endoscopy combined with selective operation. The control group were treated with open holecystectomy,choledocholithotomy and T-tube drainage. Observe the two groups of patients with postoperative recovery,compared with the two groups of patients with bile duct stones,injury degree and postoperative complications such as bile duct,bile duct bleeding,abscess,biliary stricture and biliary tract infection and so on. Results The rate of bile duct stones and bile duct injury in the observation group were significantly lower than those in the control group（P ﹤ 0. 05）,and the incidence of complica-tions in observation group was better than that in control group（P ﹤ 0. 05）. Conclusions Laparoscopic combined with biliary endoscopy in the treatment of patients with acute cholecystitis caused by acute cho-lecystitis with small trauma and rapid recovery,rehabilitation effect is good and effectively improve the life quality of patients,and is safe and effective,so it is worthy of promotion in clinical.