胆管结石患者经双镜手术的58例临床分析

Clinical Analysis of 58 Cases of Patients With Biliary Calculi by Double Surgery

目的探究腹腔镜联合胆道镜手术治疗胆管结石患者的临床疗效。方法选定2011年6月～2015年6月于本院接受双镜联合治疗胆管结石的58例患者，定义为治疗组，及同期于本院进行开腹手术治疗胆管结石的患者58例，定义为对照组，观察并记录两组患者手术时间、术中出血量、术后结石残余、住院天数等。结果治疗组手术时间较对照组长，术中出血量、住院天数均明显低于对照组；治疗组结石残余率为5.13%低于对照组的23.08%，组间数据进行比较，P＜0.05，差异具有统计学意义。结论腹腔镜联合胆道镜治疗胆管结石较传统开腹治疗胆管结石相比较手术时间相对延长，但其具有创伤性小、术中出血量少、术后恢复时间短、结石残余率低等优点。

Objective To explore the clinical effect of laparoscopy combined with biliary tract surgery in the treatment of patients with bile duct stones. Methods From June 2011 to June 2015, 58 cases of patients with bile duct stones who received double-mirror combination therapy in our hospital were selected as treatment group, and during the same period 8 cases of patients with bile duct stones who received open surgery in our hospital were deifned as control group. To observe and record the operation time, blood loss, postoperative residual stones, length of stay, and so on in two groups. Results The operation time of treatment group was signiifcantly lower than that of control group, the amount of bleeding and the length of stay in treatment group was signiifcantly lower than that in control group;The residual rate of stones in the treatment group was 5.13%lower than that in the control group 23.08%, there were statistically signiifcant differences between two groups, P 〈 0.05. Conclusion Laparoscopic combined with bile duct stones in the treatment of common bile duct stones compared with the traditional open surgery to compare the operation time of bile duct stones. But it has advantages of less trauma, less blood loss, shorter recovery time and lower residual rate of stones.