不同微创术式用于胆囊结石合并胆总管结石治疗的临床效果分析

Clinical Effect Analysis of Different Minimally Invasive Surgical Methods in the Treatment of Cholecystolithiasis Combined with Common Bile Duct Stones

目的探讨两种微创术式治疗胆囊结石合并胆总管结石的效果。方法抽取于本院分别行腹腔镜胆囊切除(LC)联合胆总管探查术(LCBDE)、经内镜逆行胰胆管造影(ERCP)行内镜乳头括约肌切开术(EST)与LC两种微创方案治疗的胆囊结石合并胆总管结石患者各20例,比较两组的各项指标。结果A组手术时间、术中出血量、引流管留置时间及胃肠功能恢复明显多于B组,但住院时间及治疗费用明显低于B组,P<0.05。两种术式手术成功率及不良事件发生率均无统计学差异,P>0.05。结论LC联合LCBDE方案与ERCP下EST联合LC方案治疗胆囊结石合并胆总管结石各具优缺点,临床在选择术式时应结合患者实际病情及结石情况,制定合理治疗方案。

Objective To investigate the effect of two types of operation in the treatment of gallbladder combined with common bile duct stone.Methods 20 cases of gallbladder and common cholangiolithiasis treated with LC combined with LCBDE,ERCP and EST and LC were collected.Results In group A,the bleeding volume,drainage tube retention and gastrointestinal function recovery were more than group B.There was no statistically significant difference in success rate and adverse event rate,P>0.05.Conclusion There are advantages and disadvantages in the treatment of gallbladder combined with common bile duct stones by two types of operation.