腹腔镜辅助胆道镜实施保胆手术的临床研究

Study of the Clinical Efficacy of Laparoscopic-assisted Choledochoscopic Cholecystolithotomy

目的探讨腹腔镜辅助胆道镜实施保胆手术的临床效果。方法整群选取2012年5月—2015年1月间该院收治的胆囊结石患者,共计90例。分为治疗组和对照组,各45例,对照组患者采用腹腔镜胆囊切除术治疗,治疗组采用腹腔镜辅助胆道镜保胆取石手术进行治疗,对比分析两组手术时间、术中出血量、术后排气时间、住院天数等指标。结果治疗组患者平均手术时间为(40.4±6.3)min,术中出血量为(5.8±1.2)m L,术后排气时间为(18.0±2.1)h,住院天数为(5.2±0.6)d;对照组患者平均手术时间为(42.6±5.9)min,术中出血量为(12.0±4.1)m L,术后排气时间为(30.5±2.9)h,住院天数为(6.3±2.1)d;对比发现,治疗组各项指标均优于对照组,差异有统计学意义(P<0.05)。结论腹腔镜辅助胆道镜实施保胆手术是一种有效治疗胆囊结石的手术方案。值得广泛推广和深入研究。

Objective To study the clinical efficacy of laparoscopic-assisted choledochoscopic cholecystolithotomy. Methods 90 patients with gallbladder stone admitted to the hospital from May 2012 to January 2015 were included and divided into treatment group and control group with 45 patients in each one. The patients in the control group were treated with laparoscopic cholecystectomy, while those in the treatment group underwent laparoscopic-assisted choledochoscopic cholecystolithotomy. The operation duration, intraoperative blood loss, postoperative exhaust time, lengthy of stay and other indexes of the two groups were comparatively analyzed. Results The operation duration, intraoperative blood loss, postoperative exhaust time, lengthy of stay was(40.4±6.3) min,(5.8±1.2) m L,(18.0±2.1) h,(5.2±0.6) d respectively in the treatment group and(42.6±5.9) min,(12.0±4.1) m L,(30.5±2.9) h,(6.3±2.1) d respectively in the control group, which indicated that the indexes of the treatment group were superior to those of the control group and the differences were statistically significant(P<0.05). Conclusion Laparoscopic-assisted choledochoscopic cholecystolithotomy is an effective surgical scheme for gallbladder stone, which is worthy of extensive promotion and in-depth researches.