双镜联合与开腹手术治疗胆囊结石合并胆总管结石的对比研究

A comparative study of combined double endoscopy and laparotomy in the treatment of cholecystolithiasis complicated with common bile duct stones

目的探究胆囊结石合并胆总管结石患者接受双镜联合与开腹手术治疗的临床效果。方法选取2018年7月至2021年10月张家港市第三人民医院72例胆囊结石合并胆总管结石患者,接受开腹手术单纯治疗患者为对照组,接受双镜联合技术治疗患者为观察组,每组36例。记录患者手术时间等临床指标,统计患者术后并发症情况,评估患者术后远期疗效差异。结果观察组患者手术时间、术中出血量、术后排气时间显著优于对照组(P<0.05);观察组患者并发症发生率仅为5.56%,低于对照组(16.67%,P<0.05);观察组优良率为100%,显著优于对照组(88.89%,P<0.05)。结论相比于传统开腹手术,胆囊结石合并胆总管结石患者接受双镜联合技术治疗,手术效果明显更优,并发症发生率更低。

Objective To investigate the clinical effect of double-endoscopy combined with open surgery in patients with cholecystolithiasis complicated with common bile duct stones.Method From July 2018 to October 2021,72 patients with cholecystolithiasis complicated with common bile duct stones in Zhangjiagang Third People's Hospital were randomly divided into groups,patients treated with open surgery alone were the control group,and patients treated with double-endoscopy combined technique were selected as the observation group,36 cases in each group.In the observation group,clinical indicators such as operation time were recorded,postoperative complications were counted,and differences in postoperative long-term efficacy were evaluated.Result The operation time,intraoperative blood loss and postoperative exhaust time of the observation group were significantly better than those of the control group(P<0.05).It was lower than that of the control group(16.67%,P<0.05);the excellent and good rate of the observation group was 100%,which was significantly better than that of the control group(88.89%,P<0.05).Conclusion Compared with traditional laparotomy,patients with cholecystolithiasis and common bile duct stones treated with dual-endoscope combined technique have significantly better surgical effect and less injury.