腹腔镜联合胆道镜治疗胆囊结石合并胆总管结石临床疗效观察

Clinical Observation of Laparoscopy Combined with Choledochoscope in Treatment of Cholecystolithiasis Combined with Choledocholithiasis

目的观察胆囊结石合并胆总管结石采用腹腔镜联合胆道镜治疗的临床效果。方法选取2015年7月至2019年6月在宿迁市中医院接受治疗的50例胆囊结石合并胆总管结石患者,随机分为两组,每组25例。实验组予以腹腔镜联合胆道镜治疗,参照组予以常规手术治疗,比较两组的治疗效果。结果与参照组患者比较,实验组患者的术中出血量更少,住院时间、胃肠功能恢复时间、排气时间更短,并发症发生率更低,差异均有统计学意义(P<0.05)。结论胆囊结石合并胆总管结石患者采用腹腔镜联合胆道镜治疗,可有效减少患者术中出血量,降低相关并发症发生率,缩短住院时间、胃肠功能恢复时间和排气时间,治疗效果更高,值得进一步研究。

Objective To observe the clinical effect of laparoscopy combined with choledochoscope in the treatment of cholecystolithiasis combined with choledocholithiasis.Methods A total of 50 patients with cholecystolithiasis and choledocholithiasis who were treated in Suqian Hospital of Traditional Chinese Medicine from June 2015 to July 2019 were randomly divided into 2 groups,25 cases per group.The experimental group was treated by laparoscopy combined with choledochoscope,and the control group was treated by routine surgery.The therapeutic effects of the two groups were compared.Results Compared with the control group,the experimental group had less intraoperative bleeding,shorter hospitalization time,recovery time of gastrointestinal function,and exhaust time,as well as lower incidence of complications,and the differences between the two groups were all statistically significant(P<0.05).Conclusion Laparoscopy combined with choledochoscope can effectively reduce the blood volume of patients with cholecystolithiasis combined with choledocholithiasis,reduce the incidence of related complications,shorten hospitalization time,recovery time of gastrointestinal function and exhaust time,and the therapeutic effect is higher.It is worth further study.