经皮经肝窦道胆道镜联合肾镜保胆取石术的临床疗效研究

Percutaneous transhepatic gallbladder fistula combined with choledochoscope and nephroscope in minimally invasive cholecystolithotomy

目的探讨经皮经肝胆囊窦道胆道镜联合肾镜保胆取石的临床疗效。方法回顾性分析该院肝胆外科收治的119例保胆取石患者的临床资料。其中,经皮经肝胆囊窦道胆道镜联合肾镜保胆取石术57例做为治疗组;腹腔镜联合胆道镜保胆取石术62例做为对照组。比较两组患者的临床疗效。结果两组患者在手术时间、术中出血量、术后并发症、住院时间、一期结石清除率和结石复发率等方面比较,差异均无统计学意义(P>0.05)。结论胆道镜联合肾镜经皮经肝窦道保胆取石术与腹腔镜联合胆道镜保胆取石术相比,同样具有安全、有效、并发症少的特点,值得在临床中推广应用。

ObjectiveTo investigate the clinical effects of percutaneous transhepatic gallbladder fistula combined with choledochoscope and nephroscope in minimally invasive cholecystolithotomy. MethodsClinical data of 119 cases were divided into two groups. The test group included 57 cases treated by percutaneous transhepatic gallbladder fistula in Minimally Invasive Cholecystolithotomy. The control group included 62 cases treated by Laparoscopy combined with choledochoscopy in minimally invasive cholecystolithotomy. The clinical effects of the two groups were compared. ResultsIt had no statistical difference in operation time, bleeding, surgical complications, length of hospital stay, gallstone clearance rate and recurrence rate between the two groups.ConclusionCompared with laparoscopy combined with choledochoscopy, percutaneous transhepatic gallbladder fistula combined with choledochoscope and nephroscope for treatment of cholecystolithiasis was a safe, effective method in the same, with less complications, and important clinical application value.