经腹腔镜辅助胆道镜取石治疗胆囊结石合并胆管结石的临床效果  

Clinical Effect of Laparoscopic Assisted Choledochoscopy Stone Extractionin the Treatment of Cholecystolithiasis Combined with Bile Duct Stone

作　　者：杨超 Yang Chao(Guiyang Huaxi District People's Hospital,Guiyang 550025,Guizhou Province,China)

机构地区：[1]贵阳市花溪区人民医院,贵州贵阳550025

出　　处：《中外医药研究》2023年第36期39-41,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:比较经腹腔镜辅助胆道镜取石与内镜下十二指肠乳头括约肌切开术(EST)治疗胆囊结石合并胆管结石的效果。方法:选取2019年1月—2023年4月于贵阳市花溪区人民医院就诊的胆囊结石合并胆管结石患者160例作为研究对象,采用数字抽选法随机分为观察组和对照组,各80例。对照组通过内镜逆行胰胆管造影术行EST,再行腹腔镜下胆囊切除术,观察组采取经腹腔镜辅助胆道镜取石手术。比较两组治疗效果、并发症发生情况、结石复发情况。结果:观察组治疗效果有效率高于对照组,差异有统计学意义(P=0.028);观察组并发症总发生率低于对照组,差异有统计学意义(P=0.016);观察组复发率低于对照组,差异有统计学意义(P=0.045);观察组复发结石直径小于对照组,差异有统计学意义(P<0.001)。结论:经腹腔镜辅助胆道镜取石手术治疗胆囊结石合并胆管结石能够取得更好的效果,降低并发症发生风险与复发率。Objective:To compare the effect of laparoscopic assisted choledochotomy stone extraction and endoscopic duodenal papillary sphincterotomy(EST)in the treatment of cholecystolithiasis combined with bile duct stone.Methods:A total of one hundred and sixty patients with cholecystolithiasis combined with bile duct stone treated in Guiyang Huaxi District People's Hospital from January 2019 to April 2023 were selected as the study objects,and were randomly divided into observation group and control group by digital selection method,with eighty cases in each group.The control group underwent EST by endoscopic retrograde cholangiopancreatography,followed by laparoscopic cholecystectomy,and the observation group underwent laparoscopic assisted choledochoscope stone extraction.The treatment effect,complications and recurrence of stones were compared between the two groups.Results:The effective rate of treatment effect in the observation group was higher than that in the control group,the difference was statistically significant(P=0.028);the incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P=0.016);the recurrence rate of observation group was lower than that of control group,and the difference was statistically significant(P=0.045);the diameter of recurrent stones in the observation group was smaller than that in the control group,and the difference was statistically significant(P<0.001).Conclusion:Laparoscopic assisted choledochoscopic stone extraction for cholecystolithiasis combined with bile duct stone can achieve better results and reduce the risk of complications and recurrence rate.

关 键 词：经腹腔镜辅助胆道镜取石 内镜下十二指肠乳头括约肌切开术 胆囊结石 胆管结石 

分 类 号：R65[医药卫生—外科学]