腹腔镜联合纤维胆道镜手术治疗高龄胆总管结石伴胆囊结石患者的效果分析  

Effect analysis of laparoscopy combined with choledochofiberscope in elderly patients with choledocholithiasis and cholecystolithiasis

作　　者：刘壮 LIU Zhuang(Department of Surgery,People's Hospital of Dadong District,Shenyang 110000,China)

机构地区：[1]沈阳市大东区人民医院外科,110000

出　　处：《中国实用医药》2023年第17期36-38,共3页China Practical Medicine

摘　　要：目的 研究腹腔镜联合纤维胆道镜手术治疗高龄胆总管结石伴胆囊结石的临床效果。方法 76例高龄胆总管结石伴胆囊结石患者,按照治疗方法不同分为对照组和观察组,各38例。对照组患者进行开腹手术治疗,观察组患者实施腹腔镜联合纤维胆道镜手术治疗。比较两组临床疗效、围手术期相关指标及并发症发生情况。结果 观察组术中出血量(64.48±4.20)ml少于对照组的(91.35±7.26)ml,手术时间(88.65±5.74)min、术后胃肠功能恢复时间(1.54±0.42)d、住院时间(6.40±1.35)d均短于对照组的(97.45±6.80)min、(3.38±1.01)d、(13.17±2.46)d,差异具有统计学意义(P<0.05)。观察组并发症发生率2.63%低于对照组的18.42%,差异有统计学意义(P<0.05)。观察组总有效率100.00%高于对照组的89.47%,差异有统计学意义(P<0.05)。结论 对高龄胆总管结石伴胆囊结石患者实施腹腔镜联合纤维胆道镜手术治疗安全有效。Objective To study the clinical effect of laparoscopy combined with choledochofiberscope in elderly patients with choledocholithiasis and cholecystolithiasis.Methods A total of 76 elderly patients with choledocholithiasis and cholecystolithiasis were divided into control group and observation group according to different treatment methods,with 38 cases in each group.Patients in the control group were treated with laparotomy,and patients in the observation group were treated with laparoscopy combined with choledochoscopy.The clinical efficacy,perioperative indexes and complications were compared between the two groups.Results The intraoperative blood loss of(64.48±4.20)ml in the observation group was less than that of(91.35±7.26)ml in the control group;in the observation group,the operative time was(88.65±5.74)min,the postoperative gastrointestinal function recovery time was(1.54±0.42)d and the hospitalization time was(6.40±1.35)d,which were shorter than those of(97.45±6.80)min,(3.38±1.01)d and(13.17±2.46)d in the control group;the differences were statistically significant(P<0.05).The incidence of complications of 2.63%in the observation group was lower than that of 18.42%in the control group,and the difference was statistically significant(P<0.05).The total effective rate of 100.00%in the observation group was higher than that of 89.47%in the control group,and the difference was statistically significant(P<0.05).Conclusion Laparoscopy combined with choledochofiberscope is safe and effective for elderly patients with choledocholithiasis and cholecystolithiasis.

关 键 词：胆总管结石 胆囊结石 腹腔镜 纤维胆道镜 

分 类 号：R657.4[医药卫生—外科学]