腹腔镜联合胆道镜治疗胆囊结石合并胆总管结石临床观察  

Clinical observotion of laparoscopy combined with choledochoscopy in treatment of chocecystolithiasis and choledocholithiasis

作　　者：王峻[1] 何涛[1] 张勇[1] 胡洪[1] 靳波[1] 

机构地区：[1]玉溪市人民医院普外二科,653100

出　　处：《中国实用医药》2013年第31期28-29,共2页China Practical Medicine

摘　　要：目的探讨腹腔镜联合胆道镜治疗胆囊结石合并胆总管结石的临床效果。方法选取30例胆囊结石合并胆总管结石患者,随机分为观察组和对照组各15例,观察组行腹腔镜联合胆道镜治疗,对照组行开腹术治疗,对比两组的临床疗效。结果两组患者手术时间差异无统计学意义(P>0.05),观察组术中出血量、平均住院时间、术后排气时间、并发症发生率均明显低于对照组(P<0.05)。结论腹腔镜联合胆道镜是一种安全有效的治疗方式,效果显著,值得推广。Objective To investigate the clinical effect of laparoscopy combined with choledochoscopy in treatment of cholecystolithiasis and choledocholithiasis. Methods 30 patients with cholecystolithiasis and choledocholithiasis patients, randomly divided into observation group and control group with 15 cases in each group, the observation group was treated by laparoscopy combined with choledochoscopy in treatment, control group received laparotomy treatment, compared two groups of clinical curative effect. Results There was no significant difference between the two groups in operation time （P〉0.05）, the patients in the observation group the amount of bleeding, hospitalization time, postoperative exhaust time, complication rates were significantly lower than those in the control group （P〈0.05）. Conclusion Laparoscopy combined with choledochoscopy is a safe and effective treatment, significant effect, worthy of promotion.

关 键 词：腹腔镜 胆囊结石 胆道镜 

分 类 号：R657.4[医药卫生—外科学]