腹腔镜联合胆道镜微创手术治疗胆总管结石的临床观察  

Clinical observation of laparoscopy combined with choledochoscope minimally invasive surgery in the treatment of common bile duct stones

作　　者：陆利红 梁建新[2] Lu Lihong;Liang Jianxin(Department of General Surgery,Fifth People's Hospital of Haimen,Haimen,Jiangsu,226131,China;Department of General Surgery,Haimen Traditional Chinese Medicine Hospital,Haimen,Jiangsu,226100,China)

机构地区：[1]海门市第五人民医院普外科,江苏海门226131 [2]海门市中医院普外科,江苏海门226100

出　　处：《当代医学》2020年第35期48-50,共3页Contemporary Medicine

摘　　要：目的探讨腹腔镜联合胆道镜微创手术治疗胆总管结石的临床疗效。方法选择2017年5月至2019年5月本院联合海门市中医院收治的胆总管结石患者52例,采用随机数字表法分为两组,各26例。对照组采取开腹手术治疗,研究组采取腹腔镜联合胆道镜微创手术治疗。比较两组取石效果、手术情况及并发症发生率。结果研究组取石成功率为92.31%,对照组为96.15%,两组比较差异无统计学意义;研究组手术时间、手术出血量、术后VAS评分、术后排气时间及住院时间分别为(163.86±26.77)min、(29.37±8.02)mL、(3.57±1.08)分、(42.17±5.98)h、(4.93±0.79)d,对照组为(125.13±22.04)min、(98.45±20.49)mL、(5.26±1.42)分、(60.13±7.45)h、(7.74±1.35)d,差异有统计学意义(P<0.05);研究组术后并发症发生率为3.85%,低于对照组的11.55%,差异无统计学意义。结论腹腔镜联合胆道镜微创手术治疗胆总管结石疗效确切,微创性好,安全性高,能够减轻患者疼痛,加速患者术后恢复。Objective To explore the clinical efficacy of laparoscopy combined with choledochoscope minimally invasive surgery for common bile duct stones.Methods 52 patients with common bile duct stones treated in our hospital from May 2017 to May 2019 were selected and they were divided into two groups by random number table method,with 26 cases in each group.The control group was treated with laparotomy,and the study group was treated withlaparoscopy combined with choledochoscope and minimally invasive surgery.The effects of stone removal,surgical status,and complication rate were compared between the two groups.Results The stone extraction success rate was 92.31%in the study group and 96.15%in the control group,there was no statistically significant difference between the two groups.The operation time,blood loss,postoperative VAS score,postoperative exhaust time,and the length of hospital stay was(163.86±26.77)min,(29.37±8.02)mL,(3.57±1.08)min,(42.17±5.98)h,(4.93±0.79)d,and the control group was(125.13±22.04)min,(98.45±20.49)mL,(5.26±1.42)min,(60.13±7.45)h,(7.74±1.35)d,there was statistically significant difference between the two groups(P<0.05).Postoperative complications in the study group was 3.85%,which was lower than 11.55%in the control group,there was no significant difference between the two groups.Conclusion Laparoscopy combined with choledochoscope minimally invasive surgery for the treatment of common bile duct stones is effective,minimally invasive,and highly safe.It can alleviate pain and speed up postoperative recovery.

关 键 词：胆总管结石 腹腔镜 胆道镜 术后恢复 并发症 取石 

分 类 号：R657.4[医药卫生—外科学]