双镜联合微创手术与开腹手术治疗胆囊结石合并胆总管结石的疗效比较

Comparison of the efficacy of double mirror combined minimally invasive surgery and open operation in the treatment of cholecystolithiasis combined with choledocholithiasis

目的:研究两种手术方式治疗胆囊结石合并胆总管结石的临床效果。方法:收治胆囊结石合并胆总管结石患者108例,按照随机数表法,随机均分为试验组和对照组。试验组采用腹腔镜胆囊切除术联合十二指肠镜下乳头括约肌切开术方式,对照组采用开腹手术方式进行治疗。对两组患者临床疗效及术后并发症进行比较分析。结果:试验组住院时间和消化功能恢复时间明显少于对照组(P<0.05);试验组手术成功率与对照组差异不明显(P>0.05);试验组术后并发症发生率(6.0%)明显低于对照组(19.0%),两组比较差异有统计学意义(χ2=4.0008,P=0.0455)。结论:双镜联合微创手术治疗胆囊结石合并胆总管结石,效果良好。

Objective:To study the clinical effect of two kinds of operation methods in the treatment of cholecystolithiasis combined with choledocholithiasis.Methods:108 patients with cholecystolithiasis combined with choledocholithiasis were selected,they were randomly divided into the experimental group and the control group with 54 cases in each by random number table method.The experimental group was treated with laparoscopic cholecystectomy combined with papillosphincterotomy under duodenoscopy,the control group was treated by open operation.Clinical efficacy and postoperative complications of the two groups were compared.Results:The hospitalization time and gastrointestinal function recovery time of the experimental group were significantly less than that of the control group(P<0.05);the success rate of the operation of the experimental group was not significantly different with the control group(P>0.05);the incidence of postoperative complications of the experimental group(6%)was significantly lower than the control group(19%),the two groups had statistical significance(χ2=4.0008,P=0.0455).Conclusion:The double mirror combined with minimally invasive surgery in the treatment of cholecystolithiasis combined with choledocholithiasis has good effect.