腹腔镜联合纤维胆道镜治疗老年胆总管结石对患者及胃肠功能的影响

Effect of laparoscopy combined with fibercholedochoscope on gastrointestinal function in the treatmnent of senile patients with choledocholithiasis

目的分析腹腔镜联合纤维胆道镜治疗老年胆总管结石对患者及胃肠功能的影响。方法 50例老年胆总管结石患者,随机分为对照组与观察组,每组25例。对照组实施传统开腹术,观察组实施腹腔镜联合纤维胆道镜术。比较两组术后胃肠功能指标、手术时间及术中出血量、并发症发生情况。结果观察组患者的排便时间、肛门排气时间、肠鸣音恢复时间均显著短于对照组,差异具有统计学意义(P<0.05)。对照组并发症发生率(20.00%)高于观察组(0),差异具有统计学意义(χ~2=5.56,P<0.05)。观察组患者的手术时间及术中出血量显著优于对照组,差异具有统计学意义(P<0.05)。结论对于老年胆总管结石患者来说,与实施传统开腹术相比,实施腹腔镜联合纤维胆道镜术能够减少并发症发生,减小手术给患者带来的创伤,有效促进患者术后胃肠功能恢复,具有临床价值。

Objective To analyze the effect of laparoscopy combined with fibercholedochoscope on gastrointestinal function in the treatment of senile patients with choledocholithiasis. Methods A total of 50 senile patients with choledocholithiasis were randomly divided into the control group and the observation group, with 25 cases in each group. The control group received traditional laparotomy, and the observation group received laparoscopy combined with fibercholedochoscope. The postoperative gastric function index, operation time, intraoperative bleeding volume and occurrence of complications between the two groups were compared. Results The defecation time, anal exhaust time and bowel sounds recovery time of the observation group were significantly shorter than those of the control group, and the differences were statistically significant（P〈0.05）. The incidence of complications in the observation group was 0, which was significantly lower than 20.00% in the control group, the difference was statistically significant（χ^2=5.56, P〈0.05）. The operation time and intraoperative bleedingvolume of the observation group were significantly better than those of the control group, and the differences were statistically significant（P〈0.05）. Conclusion For senile patients with choledocholithiasis, compared with the traditional laparotomy, the implementation of laparoscopy and fibercholedochoscope can reduce the complications, smaller the trauma to the patients and effectively promote the recovery of postoperative gastric function. This method contains clinical value.