腹腔镜联合胆道镜治疗胆囊结石合并肝胆管结石的临床效果

Clinical effect of laparoscope combined with choledochoscope in the treatment of cholecystolithiasis with hepatolithiasis

目的探讨腹腔镜联合胆道镜治疗胆囊结石合并肝胆管结石的临床效果。方法选取2018年8月至2019年8月九江市第一人民医院肝胆外科收治的80例胆囊结石合并肝胆管结石患者,利用随机数字表法分为观察组与对照组,每组各40例。对照组采用传统开腹手术治疗,观察组采用腹腔镜联合胆道镜治疗。比较两组的治疗效果、术中出血量、住院时间、不良反应发生率。结果两组的治疗总有效率比较,差异无统计学意义(P>0.05)。观察组的术中出血量少于对照组,住院时间短于对照组,差异有统计学意义(P<0.05)。两组的不良反应总发生率比较,差异无统计学意义(P>0.05)。结论腹腔镜联合胆道镜治疗胆囊结石合并肝胆管结石的效果与传统开腹手术相当,可以减少术中出血量,缩短住院时间,且不增加不良反应,值得临床推广应用。

Objective To explore the clinical effect of laparoscope combined with choledochoscope in the treatment of cholecystolithiasis with hepatolithiasis.Methods From August 2018 to August 2019,80 patients with cholecystolithiasis and hepatolithiasis admitted to department of Hepatobiliary Surgery of the First People′s Hospital of Jiujiang City were selected as the study objects.They were divided into the observation group and the control group according to random number table method,40 cases in each group.The control group was treated by traditional open surgery,and the observation group was treated with laparoscope combined and choledochoscope.The therapeutic effect,intraoperative bleeding volume,length of stay and the incidence of adverse reactions between the two groups were compared.Results There was no significant difference in the total effective rate between the two groups(P>0.05).The intraoperative blood loss in the observation group was less than that in the control group,and the length of hospitalization in the observation group was shorter than that in the control group,the differences were statistically significant(P<0.05).There was no significant difference in the total incidence of adverse reactions between the two groups(P>0.05).Conclusion Laparoscope combined with choledochoscope is as effective as traditional open surgery in the treatment of cholecystolithiasis combined with hepatolithiasis,it can reduce the amount of intraoperative bleeding and shorten the length of hospitalization,and it doesn′t increase adverse reactions,which is worthy of clinical promotion and application.