腹腔镜胆道探查术治疗胆囊结石合并胆总管结石的临床疗效观察

Clinical effect observation of laparoscopic bile duct exploration in treatment of cholecystolithiasis and choledocholithiasis

目的:观察腹腔镜胆道探查术治疗胆囊结石合并胆总管结石的临床疗效。方法:选取124例胆囊结石合并胆总管结石患者,以随机数表法分为对照组和观察组各62例,对照组实施传统开腹手术治疗,观察组实施腹腔镜胆道探查术治疗,比较两组术中失血量、手术时间、手术切口长度、导尿管留置时间、术后通气时间、下床时间和肠鸣音恢复时间。结果:观察组术中失血量明显少于对照组(P<0.05),手术时间、手术切口长度、导尿管留置时间、术后通气时间、下床时间和肠鸣音恢复时间均明显短于对照组(P<0.05)。结论:腹腔镜胆道探查术治疗胆囊结石合并胆总管结石的临床疗效优于传统开腹手术治疗疗效。

Objective To observe clinical effects of laparoscopic bile duct exploration in treatment of cholecystolithiasis and choledocholithiasis. Methods ： 124 cases with cholecystolithiasis and choledocholithiasis were selected and divided into control group （n = 62） and observation group （ n = 62） according to the random number table. The control group ＂was given the traditional open sur-gery, ＂while the observation group used the laparoscopic common bile duct exploration. The intraoperative blood loss, operation time, incision length, urinary catheter indwelling time, postoperative ventilation time, leaving bed time and peristaltic sound recovery time of the two groups were compared. Results： The intraoperative blood loss of the observation group was significantly less than that of the control group （P〈0. 05 ） , and the operation time, incision length, urinary catheter indwelling time, postoperative ventilation time, leaving bed time and peristaltic sound recovery time were significantly shorter than those of the control group （ P〈0.05）. Conclusions ： Laparoscopic bile duct exploration in the treatment of cholecystolithiasis and choledocholithiasis is more effective than the traditionalopen surgery.【