腹腔镜联合硬式胆道镜保胆取石术治疗胆囊结石的临床效果

Clinical effect of laparoscopic combined with rigid choledochoscopy cholecystolithotomy in the treatment of gallstone

目的探讨腹腔镜联合硬式胆道镜保胆取石术治疗胆囊结石的临床效果。方法选择本院2015年4月至2017年4月收治的120例胆囊结石患者作为研究对象,根据患者的个人意愿将其分为观察组和对照组,各60例。观察组患者给予腹腔镜联合硬式胆道镜保胆取石术治疗,对照组患者给予传统开腹保胆取石术治疗。比较两组患者的治疗效果。结果观察组的平均手术时间、术后排气时间和住院时间均显著短于对照组(P<0.05);观察组的治疗总有效率为96.67%,显著高于对照组的73.33%(P<0.05);观察组患者的术后并发症总发生率为8.33%,显著低于对照组30.00%(P<0.05)。结论腹腔镜联合硬式胆道镜保胆取石术能够显著缩短胆囊结石患者的手术时间及住院时间,改善患者手术治疗效果,降低术后并发症发生率,值得临床推广。

Objective To investigate the clinical effect of laparoscopic combined with rigid choledochoscopycholecystolithotomy in the treatment of gallstone. Methods A total of 120 patients with gallstones admitted in our hospitalfrom April 2015 to April 2017 were selected as the study objects. According to the individual wishes of the patients, 120patients were divided into observation group and control group, with 60 cases in each group. The observation group weretreated with laparoscopic combined with rigid choledochoscopy cholecystolithotomy and the control group was treated withtraditional laparotomy cholecystolithotomy. The effects of treatment in the two groups were compared. Results The averageoperation time, postoperative exhaust time and hospitalization time of the observation group were significantly shorter thanthose in the control group （P〈0.05）. The total effective rate of treatment in the observation group was 96.67%, which wassignificantly higher than 73.33% of the control group （P〈0.05）. The incidence of postoperative complication of theobservation group was 8.33%, which was significantly lower than 30.00% of the control group （P〈0.05）. ConclusionLaparoscopic combined with rigid choledochoscopy cholecystolithotomy can significantly shorten the operation time andhospitalization time, improve the effect of surgical treatment and decrease the incidence of postoperative complications. It isworthy of promotion.