胆总管并胆囊结石双镜联合取石的效果及安全性分析

Clinical effect and safety of laparoscope combined with choledochoscope in the treatment of choledocholithiasis associated with cholecystolithiasis

目的探讨胆总管并胆囊结石患者行腹腔镜联合胆道镜取石的效果及安全性。方法将58例患者按其意愿分为两组,观察组行腹腔镜联合胆道镜取石术,对照组行传统开腹取石术,比较两组手术时间、术后住院天数、并发症发生率。结果两组手术时间无统计学差异(P>0.05);观察组术后住院天数短于对照组(P<0.01);且观察组切口感染、胆瘘、残石、并发症总发生率少于对照组(P<0.05)。两组均无死亡等严重并发症发生。结论胆总管并胆囊结石患者行腹腔镜联合胆道镜取石具有创伤小、痛苦轻、并发症少、安全、有效临床优点,可能是此类患者理想的治疗方法。

Objective To explore the therapeutic efficacy of laparoscope combined with choledochscope for choledocholithiasis associated with cholecystolithiasis. Methods Fifty-eight patients were divided into 2 groups according to their wishes:the observation group underwent laparoscope combined with choledochoscope,the control group underwent operation in open surgery. The operative time,hospital stay of postoperation,and rates of postoperative complications were compared between the two groups. Results In the operative time of two groups there were no significant difference(P>0.05);the hospital stay of postoperation in observation group were shorter than those in control group(P <0.01);there were statistically significant differences of postoperative complication between the two groups(P<0.05) which observation group was superior to control one. Severe complication such as perforation,bleeding,event death did not occur in two groups. Conclusion The combined application of laparoscope and choledochoscope in the treatment of choledocholithiasis associated with cholecystolithiasis is safe and effective,and with the advantage of less trauma,quick recovery,and reduced postoperative copmplication.