腹腔镜联合胆道镜胆总管探查术治疗复发性胆总管结石疗效观察  

Clinical effect observation of laparoscopy combined with choledochoscopy for common bile duct exploration in the treatment of recurrent choledocholithiasis

作　　者：田睿 Tian Rui(The Third Hospital Changsha,Hunan Changsha 410000)

机构地区：[1]长沙市第三医院,湖南长沙410000

出　　处：《中国社区医师》2020年第16期58-59,共2页Chinese Community Doctors

摘　　要：目的:分析腹腔镜联合胆道镜胆总管探查术治疗复发性胆总管结石的疗效。方法:2016年1月-2019年3月收治复发性胆总管结石患者93例,随机分为两组。对照组采用传统开腹胆总管探查术治疗,观察组采取腹腔镜联合胆道镜胆总管探查术治疗。比较两组临床效果。结果:观察组治疗后白细胞计数、C反应蛋白、中性粒细胞百分比、术后并发症发生率均低于对照组,差异有统计学意义(P<0.05)。结论:采用腹腔镜联合胆道镜胆总管探查术治疗复发性胆总管结石,其对患者机体影响轻,可降低术后并发症发生率,安全有效。Objective:To analyze the effect of laparoscopy combined with choledochoscopy for common bile duct exploration in the treatment of recurrent choledocholithiasis.Methods:From January 2016 to March 2019,93 patients with recurrent common bile duct stones were treated,they were randomly divided into the two groups.The control group was treated with traditional open common bile duct exploration.The observation group was treated by laparoscopy combined with choledochoscopy for common bile duct exploration.The clinical effects of the two groups were compared.Results:The leukocyte count,C-reactive protein and neutrophil percentage in the observation group were lower than those in the control group,and the incidence of postoperative complications in the observation group was lower than that in the control group,the differences were statistically significant(P<0.05).Conclusion:Laparoscopy combined with choledochoscopy for common bile duct exploration in the treatment of patients with recurrent choledocholithiasis has little effect on the body,which can reduces the incidence of postoperative complications,and is safe and effective.

关 键 词：腹腔镜 胆道镜胆总管探查术 复发性胆总管结石 

分 类 号：R657.4[医药卫生—外科学]