腹腔镜、十二指肠镜、胆道镜联合治疗胆道结石的临床研究

Clinical study of laparoscopic,duodenoscopy and choledochoscopy in the treatment of cholelithiasis

目的:研究十二指肠镜、腹腔镜联合胆道镜治疗胆道结石的应用效果。方法:2017年1月-2019年1月收治胆道结石患者80例,随机分为两组,各40例。对照组采用开腹手术治疗;观察组联合腹腔镜+十二指肠镜+胆道镜治疗。比较两组治疗效果。结果:观察组术中出血量少于对照组,观察组手术时间、术后肛门排气、首次排便、住院时间短于对照组,观察组并发症发生率低于对照组,差异均有统计学意义(P<0.05)。结论:采用腹腔镜、十二指肠镜、胆道镜联合治疗胆道结石可获得理想效果,可优化手术指标,缩短患者术后的身体康复时间和住院时间,且并发症少。

Objective:To study the effect of duodenoscopy,laparoscopy and choledochoscopy in the treatment of cholelithiasis.Methods:80 patients with cholelithiasis were selected from January 2017 to January 2019.They were randomly divided into the two groups with 40 cases in each group.The control group was treated by laparotomy,while the observation group was treated by laparoscopy,duodenoscope and choledochoscope.The therapeutic effects of the two groups were compared.Results:The amount of bleeding in the observation group was less than that in the control group;the operation time,anal exhaust,first defecation and hospitalization time in the observation group were shorter than those in the control group;the incidence of complications in the observation group was lower than that in the control group;the differences were statistically significant(P<0.05).Conclusion:The combination of laparoscopic,duodenoscopy and choledochoscopy for the treatment of biliary calculi can achieve ideal results,optimize surgical parameters,shorten the postoperative recovery time and hospitalization time,and have fewer complications.