腹腔镜联合胆道镜治疗胆囊结石合并胆总管结石的效果和预后分析  

Efficacy and Prognosis of Laparoscopic Combined With Choledochoscopy in Treatment of Cholecystolithiasis With Choledocholithiasis

作　　者：牛延军[1] 王玮璟[1] 曾高云 王跃华[1] 李琰[1] 

机构地区：[1]新疆生产建设兵团第二师库尔勒医院普外二科,新疆库尔勒841000

出　　处：《中国继续医学教育》2017年第2期119-121,共3页China Continuing Medical Education

摘　　要：目的观察腹腔镜联合胆道镜治疗胆囊结石合并胆总管结石的效果和预后。方法选取80例胆囊结石合并胆总管结石(2015年1月-2016年1月),按照不同的手术方式进行平均分组,对照组采用传统开腹手术进行治疗,观察组采用腹腔镜联合胆道镜微创保胆取石术进行治疗,比较两组患者的手术观察指标和并发症发生率。结果观察组平均手术时间为(129.9±13.5)min,术中出血量为(36.0±5.0)ml,住院时间为(8.0±2.3)d,术后下床活动时间为(1.5±0.5)d短于对照组,差异有统计学意义,P<0.05;观察组并发症低于对照组,差异有统计学意义,P<0.05。结论腹腔镜联合胆道镜治疗胆囊结石合并胆总管结石的效果显著,并发症少,有利于预后情况的改善。Objective To observe the effect and prognosis of laparoscopy combined with choledochoscopy in the treatment of cholecystolithiasis with choledocholithiasis. Methods 80 cases of cholecystolithiasis with common bile duct stones（January 2015 to January 2016）, which were divided according to the different operation mode, the control group using the traditional open surgery treatment, observation group were treated with laparoscope combined with choledochoscope minimally invasive cholecystolithotomy treatment, the incidence rate were compared between the two groups were observed and the complications. ResultsAverage operation time of the observation group was（129.9±13.5）min, the amount of bleeding was（36.0±5.0） ml,（8.0±2.3） d for the length of time, postoperative ambulation time was（1.5±0.5）d was shorter than the control group, there was statistically significance difference, P〈0.05; the complications of the observation group were less than those of the control group, there was statistically difference significant, P〈0.05. Conclusion Laparoscopic combined with choledochoscopy in the treatment of cholecystolithiasis with choledocholithiasis is effective, less complications, is conducive to the improvement of the prognosis.

关 键 词：腹腔镜 胆道镜 胆囊结石 胆总管结石 效果和预后 

分 类 号：R575.6[医药卫生—消化系统]