腹腔镜联合胆道镜治疗胆囊结石合并胆总管结石的临床疗效

Clinical effect of laparoscopy combined with bile duct endoscopy on cholecystolithiasis and choledocholithiasis

目的探讨腹腔镜联合胆道镜治疗胆囊结石合并胆总管结石的临床疗效。方法选取2015年1月至2016年1月60例胆囊结石合并胆总管结石患者作为观察对象,将经腹腔镜联合胆道镜手术治疗的患者分为观察组(30例),采用传统开腹手术的患者分为对照组(30例)。观察两组患者的手术治疗情况及恢复情况。结果观察组下床活动时间[(12.3±1.5)h]、住院时间[(8.3±1.6)d]、术中出血量[(72.1±5.5)ml]及并发症发生率(3.33%)低于对照组[(12.3±1.5)h、(8.3±1.6)d、(72.1±5.5)ml、23.33%],差异有统计学意义(P<0.05)。结论对胆囊结石合并胆总管结石的患者采用腹腔镜联合胆道镜治疗具有微创、疗效好、并发症少,患者疼痛轻、恢复快的特点,具有较高的临床治疗价值。

Objective To investigate the clinical effect of laparoscopy combined with bile duct endoscopy on cholecystolithiasis and choledocholithiasis.Methods Sixty patients with cholecystolithiasis and choledocholithiasis from January 2015 to January 2016 were selected as the observation objects, the patients with laparoscopic surgery treatment as observation group, the patients with the traditional open surgery as control group, with 30 cases in each group.The treatment and recovery were compared between the two groups.Results The ambulation time[（12.3±1.5）h], hospitalization time[（8.3±1.6）d], intraoperative blood loss[（72.1±5.5）ml], complications rate （3.33%） in the observation group were lower than those in the control group[（12.3±1.5）h,（8.3±1.6）d,（72.1±5.5）ml,23.33%], the differences were significant （P〈0.05）.Conclusion Laparoscopy combined with choledochoscopy in treatment of cholecystolithiasis and choledocholithiasis is minimally invasive, has good curative effect, less complications, patients with less pain and quick recovery, with high clinical value.