双镜联合取石术与腹腔镜切除术治疗胆囊结石的效果

Therapeutic Effect of Combined Double-lens and Single-lens Cholecystectomy on Cholelithiasis

目的探讨在治疗胆结石患者时采用双镜联合治疗与单镜胆囊切除术治疗的临床效果。方法选取2019年3月—2020年8月就诊于医院并实施胆囊切除术治疗胆结石的患者,共计86例。采用随机表法将患者分成两组并给予不同的治疗方案,将采取单镜胆囊切除术治疗的患者命名为单镜组,将采用腹腔镜联合胆道镜保胆取石术治疗的患者纳入双镜组,对比两组患者运用不同治疗方式的临床效果。结果双镜组患者术中出血量少于单镜组,差异有统计学意义(P<0.05),其余手术指标对比差异无统计学意义(P>0.05);双镜组患者术后并发症明显少于单镜组﹔双镜组生活质量评分明显高于单镜组;双镜组患者VAS评分低于单镜组﹔双镜组患者SAS、SDS评分明显低于单镜组,对比差异有统计学意义(P<0.05)。结论在治疗胆结石患者时采取双镜联合治疗效果更好且安全性较高,建议临床广泛应用。

Objective To investigate the clinical effect of combined double-lens and single-lens cholecystectomy therapy in the treatment of gallstone.Methods From March 2019 to August 2020,a total of 86 patients with cholelithiasis were enrolled and treated with cholecystectomy.Patients were divided into two groups by random table method and given different treatment plans.The patients who received single-lens treatment were named as single-lens group,and the patients who received laparoscopic combined with choledochoscopy for preserving and removing gallstones were included in the doublelens group,the clinical effects of different treatment methods were compared between the two groups.Results The blood loss in the double-lens group was less than that in the single-lens group,the difference was statistically significant(P<0.05),and the other operative indexes was not statistically significant(P>0.05).The postoperative complications in the double-lens group were significantly less than that in the single-mirror group.The VAS score of the doublelens group was lower than that of the single-lens group,and the scores of SAS and SDS of the double-lens group were significantly lower than that of the single-lens group(P<0.05).Conclusion It is more effective and safer to treat patients with cholelithiasis by the combination of two mirrors.It is suggested that it should be widely used in clinic.