腹腔镜联合胆道镜在胆囊结石合并胆总管结石治疗中的应用  

The Application of Laparoscope Joint Choledochoscope in Treatment of Cholecystolithiasis Combined with Choledocholithiasis

作　　者：奚剑波[1] 法镇中[1] 闵震宇[1] 张伟元[1] 

机构地区：[1]江苏大学附属武进医院,江苏常州213002

出　　处：《中国医学创新》2017年第1期22-25,共4页Medical Innovation of China

摘　　要：目的:探讨腹腔镜联合纤维胆道镜双镜治疗胆囊结石合并胆总管结石的临床疗效。方法:选取2014年1月-2015年12月江苏大学附属武进医院普外科行手术治疗胆总管结石患者60例,其中行腹腔镜联合胆道镜治疗30例作为腔镜组,开腹手术治疗30例作为开腹组,观察并比较两组临床疗效结果。结果:60例手术均获成功,腔镜组在术中出血量、胃肠功能恢复时间、住院天数、术后切口感染发生率方面均优于开腹组(P<0.05)。结论:腹腔镜和胆道镜双镜联合治疗胆总管结石具有损伤小、恢复快、术中出血少、住院时间短及术后并发症少等优点,是目前治疗胆道结石较理想的微创术式,临床上值得推广。Objective：To observe the experience of laparoscope joint choledochoscope in treatment of cholecystolithiasis combined with choledocholithiasis.Method：The clinical data of 60 patients with cholecystolithiasis combined with choledocholithiasis were divided into laparoscopic group of 30 cases and laparotomy group of 30 cases, which were treaded in our hospital from January 2014 to December 2015.Result：60 patients were successfully completed.The intraoperative blood loss,gastrointestinal function recovery time,hospitalization time and incision infection rate in the laparoscopic group were better than those of laparotomy group,the differences were statistically significant（P〈0.05）.Conclusion：Laparoscope joint choledochoscope in treatment of cholecystolithiasis combined with choledocholithiasis has such advantages as less trauma,rapid recovery,less intraoperative bleeding,shorter hospitalization time and lower postoperative complications rate compared with traditional open surgical method.

关 键 词：腹腔镜 胆道镜 胆总管探查术 开腹手术 

分 类 号：R657.42[医药卫生—外科学]