微创术式治疗胆囊结石伴胆总管结石的效果

Comparison of Two Minimally Invasive Surgical Procedures for Cholecystolithiasis With Common Bile Duct Stones

目的分析治疗胆囊结石合并胆总管结石使用两种微创术式获取的临床效果。方法医院于2017年12月-2018年12月共收治胆囊结石合并胆总管结石患者70例,通过奇偶法的形式划分为对照组和观察组,每组各为35例。其中,对照组采取ERCP、EST与LC联合治疗,观察组为LCBDE联合LC治疗,对比两组治疗后的手术成功率和并发症发生率。结果观察组患者的手术成功率高于对照组,观察组患者的并发症发生率低于对照组,两组之间经过比对,能发现统计学意义的存在(P <0.05)。结论使用LCBDE联合LC治疗胆囊结石合并胆总管结石,获取的临床效果十分显著,能够有效提高患者的手术成功率。

Objective To analyze the clinical effect of two minimally invasive surgical methods in the treatment of cholecystolithiasis combined with choledocholithiasis. Methods From December 2017 to December 2018, 70 patients with cholecystolithiasis and choledocholithiasis were treated in our hospital. They were divided into control group and observation group by parity method, with 35 cases in each group. The control group was treated with ERCP, EST and LC, while the observation group was treated with LCBDE and LC. The success rate and complication rate after treatment were compared between the two groups. Results The success rate of operation in the observation group was higher than that in the control group, and the incidence of complications in the observation group was lower than that in the control group. Through comparison between the two groups, statistical significance could be found(P < 0.05). Conclusion The clinical effect of LCBDE combined with LC in the treatment of cholecystolithiasis combined with choledocholithiasis is remarkable, which can effectively improve the success rate of surgery and is suitable for promotion.