腹腔镜联合胆道镜微创治疗胆道结石的临床应用价值研究

Research of clinical application value of laparoscopy combined with minimally invasive choledochoscopy in the treatment of cholelithiasis

目的:将腹腔镜与胆道镜微创联合治疗用于胆道结石治疗中,对其临床应用价值进行评价。方法:对我院收治的72例胆道结石患者分组研究,B组行常规开腹手术治疗,A组行腹腔镜与胆道镜微创联合治疗,比较两组治疗后临床指标差异。结果:A组手术时间与B组相比更短,但组间差异无统计学意义(P> 0.05),A组结石取出数量、胃肠道功能恢复时间、住院时间各项临床中指标与B组相比,均明显更好(P <0.05);A组术后并发症率为5.56%,与B组19.44%相比,明显更低(P<0.05)。结论:腹腔镜与胆道镜微创治疗联合用于胆道结石患者治疗中效果理想,与传统开腹手术相比具有创口小、恢复快等优点,可缩短住院时间,促进患者早日康复,减少术后并发症,提升生活质量,值得临床应用。

Objective:To evaluate the clinical application value of laparoscopy combined with minimally invasive choledochoscopy in the treatment of cholelithiasis.Methods:72 cases of patients with cholelithiasis treated in our hospital were grouped for the research.Group B underwent the routine open laparotomy surgery while group A underwent the aparoscopy combined with minimally invasive choledochoscopy.Then,the difference of clinical indexes after treatment was compared between the two groups.Results:The operation time in group A was shorter than that in group B,but there was no significant difference between groups(P>0.05).The clinical indexes of number of stones removed,recovery time of gastrointestinal function,hospitalization time in the group A were significantly better than those in group B(P<0.05).The incidence of postoperative complications in group A was 5.56%,which was significantly lower compared with that of group B,19.44%,(P<0.05).Conclusion:The effects of laparoscopy combined with minimally invasive choledochoscopy in the treatment of cholelithiasis were ideal,and compared with the traditional open operation,it had the advantages of small wound and quick recovery,and it could shorten the hospitalization time,promote the recovery of the patients as soon as possible,reduce the postoperative complications and improve the quality of life,therefore,it was worthy of being applied in the clinical practice.