腔镜联合胆道镜微创手术治疗胆道结石的临床分析

Clinical Analysis of Laparoscopy Combined with Minimally Invasive Surgery under Choledochoscope in Treatment of Biliary Tract Stones

目的研究探讨腔镜联合胆道镜微创手术治疗胆道结石的临床效果。方法该研究于2016年1月—2018年2月在该院进行,以规定研究时段内收治的40例胆道结石患者为研究对象,随机均分两组,各30例,以传统开腹手术治疗为对照组,以腔镜联合胆道镜微创手术治疗为观察组,分析对比两组的疗效,以及治疗后患者出现并发症的情况。结果观察组并发症的发生率为10.0%,对照组为35.0%,观察组出现并发症的情况较对照组的要少,两组比较差异有统计学意义(χ~2=18.312,P<0.05)。结论采取腔镜联合胆道镜微创手术治疗胆道结石患者,可以帮助患者减少住院时间、胃肠道功能恢复时间、减少并发症的出现,效果显著,值得去推广和应用。

Objective To research and study the clinical effect of laparoscopy combined with minimally invasive surgay under choledochoscope in treatment of biliary tract stones. Methods 60 cases of patients with biliary tract stones admitted and treated in our hospital from Januay 2016 to February 2018 were selected and randomly divided into two groups with 30 cases in each, the control group used the traditional laparotomy, while the observation group were treated with laparoscopy combined with minimally invasive surgery under choledochoscope, and the curative effect, and occurrence of complications were analyzed and compared. Results The incidence rate of complications in the observation group was lower than that in the control group （10.0% vs 35.0%）, and the difference was statistically significant （χ^2=18.312, P=0.05）. Conclusion The laparoscopy combined with minimally invasive surgay under choledochoscope in treatment of biliay tract stones can help the patients reduce the length of stay, and recovay time of gastrointestinal function, reduce the occurrence of complications, and the effect is obvious, which is worth promotion and application.