腹腔镜联合Olympus十二指肠镜治疗胆囊结石合并胆总管结石临床效果观察

Clinical Observation of Laparoscopic Combined with Olympus Duodenoscope in the Treatment of Cholecystolithiasis Combined with Choledocholithiasis

目的:运用不同方案为胆囊结石并胆总管结石患者开展治疗,进一步分析联合手术方案(腹腔镜+Olympus十二指肠镜)的临床疗效。方法:随机选取2020年1月~2023年1月医院收治的62例胆囊结石合并胆总管结石患者为观察对象,随机分为观察组与对照组,其中31例患者为观察组,运用腹腔镜联合Olympus十二指肠镜治疗,另外31例患者为对照组,运用传统开腹手术治疗。结果:与对照组患者相比观察组患者下床活动、首次排气以及住院时间更短,手术过程中出血量相对较少,有着相对较低的并发症发生率,且术后胆功能指标、炎症与疼痛因子水平改善显著,P<0.05。术后两组患者相关胆功能指标、炎症因子以及疼痛因子水平并无显著差异,P>0.05。结论:对于胆囊结石并胆总管结石这一合并症患者来说联合手术方案(腹腔镜+Olympus十二指肠镜)的效果理想。

Objective:To analyze the clinical effect of laparoscopy combined with Olympus duodenoscope in the treatment of patients with cholecystolithiasis combined with choledocholithiasis.Methods:In this study,62 patients who received cholecystolithiasis combined with choledocholithiasis in hospital from January 2020 to January 2023 were selected as experimental subjects,and the patients were divided into groups by random number table method.31 patients were included in the observation group,treated by laparoscopy combined with Olympus duodenoscope,and the other 31 patients were included in the control group.Traditional laparotomy was used.Results:There were significant differences in surgical indexes,postoperative bile function indexes,levels of inflammatory factors and pain factors,and incidence of complications in observation group(P<0.05).There were no significant differences in the levels of bile function indexes,inflammatory factors and pain factors between the two groups(P>0.05).Conclusion:The combined surgical plan(laparoscopic+Olympus duodenoscopy)is ideal for patients with gallbladder stones and common bile duct stones as a complication.