双镜联合保胆取石术治疗胆囊结石的临床分析  

Clinical analysis of double-endoscope combined gallbladder-preserving cholelithotomy in the treatment of cholecystolithiasis

作　　者：程刚[1] 田平[1] 王照红[1] 李敏杰[1] 刘权[1] 易先华[1] 张轩睿 

机构地区：[1]长沙医学院附属石门医院湖南省石门县人民医院肝胆外科,湖南石门415300

出　　处：《中国现代医生》2017年第21期46-48,共3页China Modern Doctor

基　　金：湖南省科学技术厅科技计划项目(2014SK3247);湖南省卫生计生委科研基金资助(X2011-030);昆明医学院研究生创新基金资助(KM2007L46)

摘　　要：目的探讨腹腔镜联合胆道镜保胆取石术治疗胆囊结石的疗效。方法胆囊结石患者共130例,将其随机均分为两组,观察组行腹腔镜联合胆道镜保胆取石术,对照组行腹腔镜胆囊切除术,比较两组患者临床数据和术后并发症发生情况。结果观察组患者的术中出血量、肛门排气、手术时间少于对照组,术后胆道损伤、切口感染、腹胀/腹泻、胆汁反流性胃炎发生率低于对照组,差异有统计学意义(P<0.05)。结论腹腔镜辅助胆道镜保胆取石术简单、安全、有效,是治疗胆囊结石的一种值得推广的微创治疗方法。Objective To investigate the efficacy of laparoscopy combined with choledochoscopy in the treatment of cholecystolithiasis. Methods A total of 130 patients with cholecystolithiasis were randomly divided into two groups. The observation group was given gallbladder-preserving cholelithotomy by laparoscopy combined with choledochoscopy. The control group underwent laparoscopic cholecystectomy. The clinical data and postoperative complications were com- pared between the two groups. Results The intraoperative blood loss, anal exhaust and operation time in the observation group were less than those in the control group. The incidences of postoperative biliary tract injury, incision infection, bloating/diarrhea and bite reflux gastritis were lower than those of the control group （P〈0.05）. Conclusion Laparoscopic- assisted choledochoscopy is a simple, safe and effective method for the treatment of cholecystolithiasis, which is worthy of promotion.

关 键 词：腹腔镜 胆道镜 保胆取石 胆囊结石 

分 类 号：R657.4[医药卫生—外科学]