胆管结石采用胆道镜治疗的疗效及安全性评价

Evaluation of the Efficacy and Safety of Choledochoscopy in the Treatment of Bile Duct Stone

目的:探讨胆道镜治疗胆管结石的疗效及安全性。方法:随机将2015年1月~2017年1月收治的78例胆管结石患者分为两组,甲组采用传统开腹手术治疗,乙组采用腹腔镜结合胆道镜治疗,比较两组患者的手术疗效及预后。结果:两组的手术用时对比差异不明显(P>0.05),但其术中出血量、肠胃功能恢复时间、住院时间及术后并发症发生率明显多于甲组,组间比较差异有统计学意义(P<0.05)。结论:胆管结石患者在腹腔镜下采取胆道镜治疗,能减少手术出血量,加快患者的肠胃功能恢复,降低患者术后并发症发生率,适合在临床上推广。

Objective: To investigate the efficacy and safety of choledochoscopy in the treatment of bile duct stone. Methods: 78 patients with bile duct stone admitted from January 2015 to January 2017 were randomly divided into two groups, group A was treated with traditional open surgery, group B was treated with laparoscopy combined with choledochoscopy. The surgical efficacy and prognosis of the two groups were compared. Results: There was no significant difference in operative time between the two groups ( P >0.05), but the amount of bleeding, gastrointestinal function recovery time, hospitalization time and postoperative complication rate was significantly higher than in group A, there were significant differences between the groups ( P <0.05). Conclusion: Laparoscopic choledochoscopy treatment for patients with bile duct stones can reduce the amount of surgical bleeding, accelerate the recovery of patients' gastrointestinal function and reduce the incidence of postoperative complications, which is suitable for clinical promotion.