腹腔镜联合胆道镜治疗胆结石患者的疗效观察  

Observation on the Efficacy of Laparoscopy Combined with Choledochoscopy in the Treatment of Patients with Cholelithiasis

作　　者：刘涌生 LIU Yongsheng(Department of General Surgery,Puning People's Hospital,Jieyang 515300,China)

机构地区：[1]普宁市人民医院普通外科,广东揭阳515300

出　　处：《临床医学工程》2020年第8期987-988,共2页Clinical Medicine & Engineering

摘　　要：目的观察腹腔镜联合胆道镜治疗胆结石患者的临床疗效。方法随机选取2018年1月至2019年6月我院收治的胆结石患者60例,根据治疗方法的不同分为观察组和对照组各30例。对照组采用常规开腹手术治疗,观察组在腹腔镜联合胆道镜下行胆管切开取石术治疗。比较两组的手术相关指标、术后并发症发生率以及残石率。结果观察组的手术时间显著长于对照组,术中出血量、住院时间均显著少于对照组(P <0.05)。观察组的术后并发症发生率为3.33%,显著低于对照组的20.00%(P <0.05)。观察组与对照组的残石率比较,差异无统计学意义(3.33%vs. 10.00%, P>0.05)。结论腹腔镜联合胆道镜治疗胆结石患者具有较好的临床疗效,能够明显缩短住院时间,减少术后并发症发生率。Objective To observe the clinical efficacy of laparoscopy combined with choledochoscopy in the treatment of patients with cholelithiasis.Methods A total of 60 patients with cholelithiasis admitted to our hospital from January 2018 to June 2019 were randomly selected and divided into observation group and control group according to different treatment methods,with 30 cases in each group.The control group was treated with conventional open surgery,while the observation group was treated with choledocholithotomy under laparoscopy combined with choledochoscopy.The surgery related indicators,incidence of postoperative complications and residual stone rate were compared between the two groups.Results The operation time of the observation group was significantly longer than that of the control group,and the amount of intraoperative blood loss and hospitalization time were significantly less than those of the control group(P<0.05).The incidence of postoperative complications of the observation group was 3.33%,significantly lower than 20.00%of the control group(P<0.05).No significant difference was found in the residual stone rate between the observation group and the control group(3.33%vs.10.00%,P>0.05).Conclusions Laparoscopy combined with choledochoscopy in the treatment of patients with cholelithiasis has good clinical efficacy,which can obviously shorten the hospitalization time,and reduce the incidence of postoperative complications.

关 键 词：腹腔镜 胆道镜 胆结石 疗效 术后并发症 残石率 

分 类 号：R757.42[医药卫生—皮肤病学与性病学]