三镜联合在胆总管探查术中行一期缝合的疗效分析

Clinical analysis of primary closure suture of common bile duct exploration combined with three kinds of endoscopies (laparoscopic,choledochoscope and gastroscope

目的探讨运用三镜(腹腔镜、胆道镜、胃镜)联合在胆总管探查术中行胆总管一期缝合的临床安全性及疗效。方法回顾性分析2016年1月至2018年1月该院57例胆囊结石合并胆总管结石患者临床资料,按手术中胆总管处理方式不同将其分为研究组、对照组。对比两组手术相关指标、疼痛数字评分法(VAS评分)、术后并发症发生率及术后平均住院时间等指标。结果术后肛门排气时间、术后平均住院时间、术后VAS评分及术后总的并发症发生率等方面研究组显著优于对照组(P=0.0036)。结论三镜联合胆总管探查一期缝合具有创伤小、恢复快、住院时间短、并发症少等优点,值得临床推广。

Objective To analyze and discuss the clinical effects of primary closure after three kinds of endoscopies(laparoscope,choledochoscope,gastroscope) in the treatment of biliary calculi. Methods Retrospective analysis was performed on 57 patients suffering from cholecystolithiasis combined with choledocholithiasis in our hospital from January 2016 to January 2018, according to biliary calculi in the operation process in a different way to be divided into research group and the control group. Compared to two groups of indicators related to the operation,pain digital grading method (VAS score),postoperative complications. Results Median postoperative anal exhaust time,postoperative hospital stay,postoperative VAS score and postoperative complication rate of the total team is significantly better than that in control group ( P =0.003 6). Conclusion Three mirror joint common bile duct exploration + intraoperative put the suture of nasal biliary drainage issue has small trauma,quick recovery,shorter hospitalization time,less complications,worthy of clinical promotion.