胆囊胆总管结石患者采取腹腔镜与胆道镜联合治疗的临床观察

The Clinical Observation of Laparoscopy and Choledochoscope Combined Treatment in Choledocholithiasis Patients

目的:探讨胆囊胆总管结石患者采取腹腔镜与胆道镜联合治疗的临床效果。方法:回顾性分析88例胆囊合并胆总管结石患者的临床资料,其中44例接受常规开腹手术治疗,将其设定为对照组。44例接受腹腔镜联合胆道镜治疗,将其设定为观察组。比较两组术中指标、临床疗效和并发症发生情况。结果:两组结石清除率均为100%,差异无统计学意义(P>0.05);观察组术中出血量少于对照组,术后肛门排气时间、下床活动时间和住院时间均短于对照组,但观察组手术时间长于对照组,差异均有统计学意义(P<0.05);观察组术后并发症发生率低于对照组,差异有统计学意义(P<0.05);两组结石复发率比较,差异无统计学意义(P>0.05)。结论:胆囊胆总管结石患者采取腹腔镜与胆道镜联合治疗的效果确切,其对机体造成的创伤小,术后恢复快,并发症少,安全性高。

Objective:To investigate the clinical efficacy of laparoscopic combined with choledochoscopy in patients with choledocholithiasis. Method:The clinical data of 88 patients with gallbladder combined with choledocholithiasis were analyzed retrospectively,and 44 patients were treated with conventional laparotomy,and they were set as the control group.44 patients were treated with laparoscopy combined with choledochoscopy,and they were set as the observation group.The intraoperative indexes,clinical effects and complications were compared between the two groups.Result:The stone clearance rate in the two groups was 100%,there was no statistically significant difference(P>0.05).The amount of bleeding in the operation of the observation group was less than that of the control group,and the time of anus exhaust,the time of ambulation and the total hospitalization were shorter than those in the control group, but the operation time of the observation group was longer than that of the control group,the differences were statistically significant(P<0.05).The incidence of postoperative complications of the observation group was lower than that of the control group,the difference was statistically significant(P<0.05).There was no significant difference in stone recurrence rate between the two groups(P>0.05).Conclusion:The combined treatment of choledocholithiasis by laparoscope and choledochoscopy is effective.It has less trauma to the body,quick recovery,less complications and high safety.