胆道镜联合腹腔镜治疗胆囊结石合并胆总管结石疗效探究

Curative effectof of choledochoscope combined with laparoscope in the treatment of cholecystolithiasis combined with choledocholithiasis

目的:探讨胆囊结石并胆总管结石患者接受胆道镜与腹腔镜联合治疗的价值。方法:收治胆囊结石并胆总管结石患者40例,分为对照组和试验组。对照组采用开腹手术治疗,试验组采用胆道镜与腹腔镜联合手术治疗。比较两组治疗效果。结果:试验组手术用时、手术出血量、肛门排气时间、住院时间均明显少于对照组(P<0.05),试验组并发症发生率低于对照组(P<0.05),两组复发率相比差异无统计学意义(P>0.05)。结论:胆囊结石并胆总管结石患者接受胆道镜与腹腔镜联合治疗,可减少其创伤程度,缩短康复时间,控制并发症。

Objective:To explore the curative effectof of choledochoscope combined with laparoscope in the treatment of cholecystolithiasis combined with choledocholithiasis.Methods:40 patients with cholecystolithiasis combined with choledocholithiasis were selected and they were divided into the control group and the experimental group.The control group was treated with laparotomy,and the experimental group was treated with choledochoscope and laparoscopy.Results:In the experimental group,the operative time,operative blood loss,anal exhaust time and hospital stay were significantly less than those in the control group(P<0.05).The complication rate in the experimental group was lower than that in the control group(P<0.05),and there was no significant difference in the recurrence rate between the two groups(P>0.05).Conclusion:The application of choledochoscope combined with laparoscope in the treatment of cholecystolithiasis combined with choledocholithiasis can reduce the degree of trauma,shorten recovery time and control complications.