腹腔镜联合胆道镜治疗胆管结石临床疗效

Clinical Analysis of Laparoscopic Joint Choledochoscope in Treatment of Choledocholithiasis

目的观察腹腔镜联合胆道镜治疗胆管结石的临床效果。方法将郑州大学第一附属医院收治的63例胆总管结石患者分为2组,观察组采用腹腔镜联合胆道镜治疗,对照组实施传统开腹手术。观察2组手术时间、术中出血量、术后住院时间及术后并发症。结果观察组手术时间、术中出血量、术后住院时间及术后并发症发生率均优于对照组,差异有统计学意义(P<0.05)。结论腹腔镜联合胆道镜治疗胆总管结石,创伤小、患者恢复快、并发症少,效果可靠。

Objective To observe the clinical effect of laparoscopic joint choledochoscope in the treatment of choledocholithiasis.Methods Divided 63 cases that adimitted to the First Affiliated Hospital of Zhengzhou University,diagnosed with cholecystolithiasis,into observation group that accepted laparoscopic joint choledochoscope surgery and control group that accepted traditional open abdominal surgery.Observed the operation time,intraoperative blood loss,postoperative hospitalization and postoperative complications.Results The patients in the observation group were superior to the control group in the operation time,intraoperative blood loss and postoperative hospitalization and postoperative complications,and the difference between two groups had obvious statistical significance(P<0.05).Conclusion The laparoscopic joint choledochoscope is an safe and effective treatment for cholecystolithiasis,having the advantages including less trauma,rapid recovery and less postoperative complications.