腹腔镜联合胆道镜治疗胆总管结石的临床分析

Clinical Analysis of Laparoscopy Combined With Choledochoscopy in the Treatment of Common Bile Duct Calculus

目的 探讨腹腔镜联合胆道镜治疗胆总管结石的临床疗效。方法以2013年1月~2016年9月我院收治的30例胆总管结石患者为研究对象,全部患者均以腹腔镜联合胆道镜探查胆道取石。记录患者手术时间、术中出血量、住院天数等相关手术指标,统计患者手术成功率、结石残余率和并发症发生率。结果 本组手术成功率100.00%,平均手术时间（121.0±14.3）min;平均术中出血量（42.5±8.1）ml;平均肛门排气时间（32.3±9.5）h;平均住院天数（12.4±1.6）天。结石残余率0.00%,并发症发生率16.67%,镇痛率6.67%,VAS均值（2.24±0.97）分。结论 腹腔镜联合胆道镜治疗胆总管结石,患者创伤小,恢复快,预后良好,不良反应少。

Objective To investigate the clinical effect of laparoscopy combined with bile duct endoscopy in the treatment of common bile duct stones. Methods 30 cases of common bile duct stones in our hospital from January 2013 to September 2016 were taken as the research object, all patients were treated by laparoscopy combined with bile duct exploration. The operation time, blood loss, hospital days and other related indicators, and statistics of the success rate of surgery, residual stone rate and the incidence of complications were recorded. Results The success rate of patients was 100.00%, the average operation time was （121.0±14.3） rain; mean blood loss was （42.5±8.1） ml, mean anal exhaust time was （32.3±9.5） h, average hospital stay was （12.4±1.6） d. The residual stone rate was 0.00%, the complication rate was 16.67%, the rate of pain was 6.67%, and the mean value of VAS was （2.24±0.97）. Conclusion Laparoscopy combined with common bile duct stones in patients with small trauma, can achieve fast recovery, good prognosis, and less adverse reactions.