腹腔镜联合胆道镜治疗胆结石临床分析

Clinical Analysis of Cholelithiasis Treated by Laparoscopy Combined With Choledochoscope

目的腹腔镜联合胆道镜治疗胆结石的临床分析。方法选择2019年1月—12月在我院进行胆结石治疗的68例患者作为调研对象,将其分成2组,每组分得34例。对比组行常规手术治疗方式。试验组采用了腹腔镜联合胆道镜治疗方式。分析两组最终治疗结果。结果(1)相比之下,对比组患者住院时间、术中出血量、手术时间、肛门排气时间与试验组相比明显较差,P<0.05;(2)对比组并发并发症例数:11例,构成比为11/34(32.35%);试验组并发并发症例数:2例,构成比为2/34(5.88%),相比之下发现对比组并发症发生率较高,试验组较低,差异明显,P<0.05。结论在胆结石治疗中,可将腹腔镜联合胆道镜治疗方案作为首选的治疗方案,治疗效果理想。

Objective To analyze the clinical effect of laparoscopy combined with choledochoscope in the treatment of gallstones.Methods 68 patients with gallstone treated in our hospital from January to December 2019 were selected as the research objects,and they were divided into two groups,34 cases in each group.The control group received conventional surgical treatment.The experimental group was treated with laparoscopy combined with choledochoscope.The final treatment results of the two groups were analyzed.Results(1)Compared with the experimental group,the length of hospital stay,intraoperative blood loss,operation time,anal exhaust time of the control group were significantly worse than those of the experimental group,P<0.05;(2)the number of complications in the control group:11 cases,the constituent ratio was 11/34(32.35%);the number of complications in the experimental group:2 cases,the constituent ratio was 2/34(5.88%),compared with the control group,the incidence of complications in the control group was higher than that in the experimental group,the difference was significant(P<0.05).Conclusion In the treatment of gallstones,laparoscopy combined with choledochoscopy can be used as the first choice,and the therapeutic effect is ideal.