腹腔镜联合胆道镜与完全腹腔镜治疗胆石症的临床疗效对比

Clinical effect comparison of laparoscopy combined with choledochoscopy and laparoscopic in the treatment of cholelithiasis

目的对比腹腔镜联合胆道镜与完全腹腔镜治疗胆石症的临床效果。方法将60例择期手术的胆石症患者随机分为对照组(n=30)与治疗组(n=30),对照组患者采用完全腹腔镜治疗,治疗组患者采用腹腔镜联合胆道镜治疗,比较两组患者的手术情况及术后胃肠蠕动恢复正常时间、住院时间、结石取净率。结果所有患者均成功实施手术,两组患者住院时间、胃肠蠕动恢复正常时间及结石取净率比较,差异无统计学意义(P>0.05);但治疗组的术中出血量与手术时间要明显优于对照组,差异有统计学意义(P<0.05)。结论腹腔镜联合胆道镜与完全腹腔镜均对胆石症疗效确切,但前者相对而言手术简易,术中出血少,充分发挥出了腹腔镜与胆道镜各自的优势。

Objective To compare the clinical effect of laparoscopy combined with choledochoscopy and laparoscopic in the treatment of cholelithiasis. Methods Sixty cases of cholelithiasis patients were randomly divided into control group and treatment group, with 30 cases in each group. The treatment group received laparoscopy combined with choledochoscopy and the control group was given laparoscopic treatment. The operation status of the two groups and the gastrointestinal peristalsis recovery time, the hospitalization days and the stone-free rate between two groups were compared. Results All patients were successfully operated, the hospital stay, gastrointestinal peristalsis recovery time and stone access rate between two groups had no significant difference （P〉0.05）, but the amount of bleeding and the operation time in the treatment group were significantly better than those of the control group （P〈0.05）. Conclusion Laparoscopy combined with choledoehoscopy and laparoscopic all have definite curative effect, but the former is relatively simple in operation with less bleeding, and could give full play to the advantages of laparoscopy and choledochoscopy.