胆道镜联合腹腔镜治疗胆总管结石的疗效及预后  

Curative Effect and Prognosis of Choledochoscope Joint Laparoscope in the Treatment of Common Bile Duct Calculi

作　　者：韩磊[1] 张巍[1] 郭杨[1] 周文平[1] 

机构地区：[1]沈阳军区总医院肝胆外科,辽宁沈阳110016

出　　处：《现代生物医学进展》2015年第19期3694-3697,共4页Progress in Modern Biomedicine

基　　金：辽宁省科技攻关课题(2013225220)

摘　　要：目的:观察胆道镜联合腹腔镜治疗胆总管结石的临床疗效以及预后情况,探讨胆道镜联合腹腔镜在胆总管结石治疗中的意义。方法:选择我院收治的胆总管结石患者共106例,根据手术方案分为两组,其中实验组共53例,采取胆道镜联合腹腔镜手术治疗;对照组共53例,给予腹腔镜手术治疗,记录两组的手术相关情况、术后并发症以及住院情况,应用统计学软件对两组数据进行分析。结果:1实验组的手术时间短于对照组,术中出血少于对照组,术后胃肠功能恢复正常时间短于对照组,差异具有统计学意义(P<0.05);2实验组住院时间与住院费用均少于对照组,差异具有统计学意义(P<0.05);3实验组术后并发症发生率为18.87%,显著低于对照组(35.85%),差异具有统计学意义(P<0.05)。结论:胆道镜联合腹腔镜能够安全有效的治疗胆总管结石。Objective： To observe the curative effect and prognosis of choledochoscope joint laparoscope in the treatment of common bile duct calculi, and then to explore its clinical application value in this disease. Methods： A total of 106 patients with common bile duct calculi of our hospital, according to the operation scheme were divided into two groups, 53 cases each group. The patients in the experimental group adopt choledochoscope combined laparoscopic surgery; and the patients in the control group were given laparoscopic surgery. The situation related to the operation, postoperative complications and hospitalization was recorded, and compared between two groups. Results： ①The operation time in the experimental group was significantly shorter than that of the control group, and the intraoperative bleeding was significantly less than that of the control group, and the time of postoperative gastrointestinal function recovery to normal was significantly shorter than that of the control group, all of these showed significant difference （P〈0.05）; ②both of the time and cost of hospitalization in the experimental group were obviously less than that in the control group with significant difference（P〈0.05）; ③ the occurrence rate of postoperative complications in the experimental group was 18.87%, significantly lower than that of the control group （35.85%）, and the difference was statistically significant （P〈0.05）. Conclusions： Laparoscope joint choledochoscope can be safe and effective therapy to treat common bile duct calculi.

关 键 词：胆道镜 腹腔镜 胆总管结石 

分 类 号：R657.4[医药卫生—外科学]