腹腔镜联合胆道镜治疗胆总管结石临床疗效分析

Analysis of the clinical efficacy of laparoscopy combined with choledochoscopy in the treatment of choledocholithiasis

目的探讨腹腔镜联合胆道镜治疗胆总管结石的疗效。方法回顾性分析我院2016年1月~2019年10月共85例胆总管结石行再次胆道手术患者的临床资料,根据其手术方式的不同分为对照组(50例)和研究组(35例),其中对照组为胆总管结石的患者行传统开腹手术治疗,研究组为胆总管结石的患者行腹腔镜联合胆道镜手术治疗。比较研究组和对照组患者术中及术后相关情况。结果两组手术患者中,研究组手术出血量、术后排气时间、术后进食时间、切口疼痛程度及出院时间均明显低于对照组,差异有统计学意义(P<0.05);研究组中,术后相关并发症的发生低于对照组,有统计学差异(P<0.05)。结论腹腔镜手术可以减少患者术中出血量及术后相关并发症的发生,促进术后胃肠功能的恢复,缩短住院时间,具有良好的安全性及可行性。

Objective To explore the effect of laparoscopy combined with choledochoscopy in the treatment of choledocholithiasis.Methods Retrospective analysis of clinical data of 85 patients with choledocholithiasis who underwent secondary biliary tract surgery from January 2016 to October 2019 in our hospital were divided into control group(50 cases)and study group(35 example).Patients in the control group with choledocholithiasis underwent traditional laparotomy,and patients in the study group with choledocho-lithiasis underwent laparoscopic and choledochoscopic surgery.Intraoperative and postoperative conditions were compared between the study group and the control group.Results The surgical bleeding volume,postoperative exhaust time,postoperative feeding time,incision pain and discharge time of the study group were significantly lower than those of the control group in the two groups,with significant differences(P<0.05).In the study group,the incidence of postoperative related complications was lower than that in the control group,and there was a statistical difference(P<0.05).Conclusion Laparoscopic surgery can reduce the intraoperative blood loss and the occurrence of postoperative related complications,promote the recovery of postoperative gastrointestinal function,shorten the length of hospital stay,and has good safety and feasibility.