腹腔镜胆囊切除联合胆道镜探查取石术在胆道结石患者中的治疗效果

Therapeutic Effect of Laparoscopic Cholecystectomy Combined with Choledochoscope Exploration and Stone Extraction in Patients with Biliary Calculi

目的:对腹腔镜胆囊切除与胆道经探查取石术应用于胆道结石治疗中的效果进行分析。方法:以110例胆道结石患者为研究对象,随机分为参照组与实验组各55例,参照组予以单纯腹腔镜胆囊切除术,实验组在此基础上联合胆道镜探查取石术治疗,对两组手术相关指标及术后并发症情况进行对比。结果:手术时间方面,参照组为(52.41±5.71)min,短于实验组的(66.32±8.12)min,P<0.05;其他指标对比,实验组术中出血量为(12.69±3.16)mL、胃肠功能恢复时间为(15.37±5.27)h、胆管总内径为(5.01±0.52)mm,均低于参照组的(28.65±2.81)mL、(24.52±3.14)h、(6.39±0.74)mm,差异显著(P<0.05);参照组并发症发生率为18.18%;实验组并发症发生率为14.55%(P>0.05)。结论:对胆道结石患者采用腹腔镜胆囊切除术治疗的同时联合胆道镜探查取石术治疗,效果显著。

Objective:To analyze the effects of laparoscopic cholecystectomy and biliary tract exploration stone extraction in the treatment of biliary calculi.Methods:Taking 110 patients with biliary calculi as an example,they were randomly divided into the reference group and the experimental group with 55 cases each.The reference group was treated with pure laparoscopic cholecystectomy.On this basis,the experimental group was treated with choledochoscopy and exploratory lithotripsy.The indicators and postoperative complications were compared.Results:In terms of operation time,the reference group was(52.41±5.71)min,which was shorter than the experimental group(66.32±8.12)min,P<0.05;compared with other indicators,the intraoperative blood loss of the experimental group was(12.69±3.16)mL,the recovery time of gastrointestinal function was(15.37±5.27)h,and the total inner diameter of the bile duct was(5.01±0.52)mm,which were all lower than those of the control group(28.65±2.81)mL,(24.52±3.14)h,(6.39±0.74)mm,the difference was significant(P<0.05);the incidence of complications in the reference group was 18.18%;the incidence of complications in the experimental group was 14.55%(P>0.05).Conclusion:For patients with biliary calculi,laparoscopic cholecystectomy combined with choledochoscopy exploration and lithotripsy treatment is effective.