腹腔镜联合胆道镜微创治疗胆道结石的疗效分析  

Analysis of Curative Effect of Laparoscope Combined with Choledochoscope in Mini-invasive Treatment of Biliary Calculi

作　　者：马国杰[1] 丁兆武[1] 邹慧民[1] 

机构地区：[1]河南省郑州市第三人民医院普外科,河南郑州450000

出　　处：《中外医疗》2016年第9期70-71,共2页China & Foreign Medical Treatment

摘　　要：目的探究腹腔镜联合胆道镜微创治疗胆道结石的临床疗效。方法整群选取该院2014年1月—2015年6月收治的83例接受手术治疗的胆道结石患者分为微创组(53例)和常规组(30例),分别行腹腔镜联合胆道镜微创手术和传统开腹手术,比较两组手术各项指标及术后情况。结果微创组术中出血量、引流管留置时间、胃肠功能恢复时间,住院时间和术后并发症发生率均少于常规组,比较差异有统计学意义(P<0.05)。结论腹腔镜联合胆道镜微创手术是治疗胆道结石有效且安全的一种方法,微创优势明显,利于患者术后恢复,值得在临床上加以推广。Objective To discuss the clinical curative effect of lapamscope coinbined with choledochoscope in mini-inva- sive treatment of biliary calculi. Methods 83 cases of patients with biliary calculi admitted and treated in our hospital from January 2014 to June 2015 were selected and divided into the mini-invasive group （53 cases） and the conventional group （30 cases）, the two groups were respectively given laparoscopc combined with eholedoc.hoscope and traditional laparotomy, the various operative indexes and postoperative conditions of the two groups were compared. Results The intraoperative blood loss, indwelling time of drainage tube, gastrointestinal function recovery time and length of stay in the mini-invasive group were less than those in the conventional group, the incidence rate of postoperative complications in the mini-invasive group was lower than that in the conventional group （3.8% vs 16.7%）, and the differences were obvious by comparison （P〈 0.05）, the differences in the operation time and postoperative concretion recrudescence between the two groups were not obvious by comparison （P〉0.05）. Conclusion Laparoscope combined with choledoehoscope in mini-invasive treatment of biliary calculi is effective and safe with the obvious mini-invasive advantage, and it is conducive to the postoperative recovery of patients and is worth promotion in clinic.

关 键 词：胆道结石 微创治疗 腹腔镜 胆道镜 临床疗效 

分 类 号：R575[医药卫生—消化系统]