微创内镜联合术式治疗胆囊并胆总管结石的效果及安全性  

The Effect and Safety of Combined Minimally Invasive Endoscopy in the Treatment of Gallbladder Complicated with Choledocholithiasis

作　　者：谢健 方忠荣 黄楚忠 袁海铭 XIE Jian;FANG Zhongrong;HUANG Chuzhong;YUAN Haiming(General Surgery 1,Changping Hospital,Dongguan,Guangdong Province,523560 China)

机构地区：[1]广东省东莞市常平医院外一区,广东东莞523560

出　　处：《中外医疗》2021年第12期73-75,共3页China & Foreign Medical Treatment

摘　　要：目的探究微创内镜联合术式治疗胆囊并胆总管结石的效果及安全性。方法随机选取2016年1月—2018年6月就诊于该院的胆囊合并胆总管结石的患者60例,随机分为研究组和对照组,每组30例。对照组采用传统开腹手术治疗,研究组采用微创内镜联合术式治疗,比较两组患者手术时间、术中出血量、术后住院时间、术后生命质量评分、疼痛评分、结石清除率、并发症发生率等指标。结果研究组手术时间(124.15±21.54)min、术中出血量(51.28±22.38)mL、术后住院时间(8.71±1.85)d、疼痛12 h评分(2.12±0.24)分、疼痛24 h评分(1.76±0.16)分、疼痛48 h评分(1.26±0.11)分、疼痛96 h评分(0.82±0.14)分、并发症发生率0.0%均低于对照组,差异有统计学意义(t=3.932、6.979、8.890、4.753、5.707、9.867、9.051,χ^(2)=4.286,P<0.05);研究组和对照组患者结石清除率分别为96.7%和100.0%,差异无统计学意义(P>0.05);研究组患者术后生命质量评分(121.39±2.68)分高于对照组(114.37±2.11)分,差异有统计学意义(t=11.273,P<0.05)。结论微创内镜联合术式治疗胆囊并胆总管结石的效果与传统开腹手术无明显差异,安全性及患者恢复情况较传统开腹手术好,并发症发生率较传统开腹手术低。Objective To explore the effect and safety of minimally invasive endoscopy combined with surgical treatment of gallbladder and choledocholithiasis.Methods A total of 60 patients with gallbladder and common bile duct stones in the hospital from January 2016 to June 2018 were randomly selected and randomly divided into study group and control group,30 cases in each group.The control group was treated with traditional open surgery,and the study group was treated with minimally invasive endoscopy combined with surgical treatment.The operation time,intraoperative blood loss,postoperative hospital stay,postoperative quality of life score,pain score,and stone removal rate,complication rate and other indicators were compared between the two groups.Results The operation time of the study group was(124.15±21.54)min,intraoperative blood loss(51.28±22.38)mL,postoperative hospital stay(8.71±1.85)d,pain 12 h score(2.12±0.24)points,pain 24 h score(1.76±0.16)points,pain 48 h score(1.26±0.11)points,pain 96 h score(0.82±0.14)points,and complication rate 0.0%were all lower than those of the control group,the difference was statistically significant(t=3.932,6.979,8.890,4.753,5.707,9.867,9.051,χ^(2)=4.286,P<0.05);the stone clearance rate of the study group and the control group were 96.7%and 100.0%,respectively,there was not statistically significant difference(P>0.05);The score of post-quality of life(121.39±2.68)points was higher than that of the control group(114.37±2.11)points,and the difference was statistically significant(t=11.273,P<0.05).Conclusion The effect of combined minimally invasive endoscopy in the treatment of gallbladder and choledocholithiasis is not significantly different from that of traditional open surgery.The safety and patient recovery are better than traditional open surgery,and the complication rate is lower than that of traditional open surgery.

关 键 词：微创内镜 胆囊结石 胆总管结石 疗效对比 

分 类 号：R657.42[医药卫生—外科学]