腹腔镜联合胆道镜微创手术治疗胆囊结石并胆总管结石的临床效果  

Clinical effect of laparoscopy combined with choledochoscopy minimally invasive surgery in the treatment of cholecystolithiasis and choledocholithiasis

作　　者：韩辉 胡居廷 陈浩 HAN Hui;HU Juting;CHEN Hao(General Surgery Department,Dancheng People's Hospital,Zhoukou 477100,China)

机构地区：[1]郸城县人民医院普通外科,河南周口477100

出　　处：《临床医学研究与实践》2025年第12期74-77,共4页Clinical Research and Practice

摘　　要：目的探讨腹腔镜联合胆道镜微创手术治疗胆囊结石并胆总管结石的临床效果。方法选取2022年7月至2023年7月我院收治的114例胆囊结石并胆总管结石患者为研究对象,将其随机分为对照组与研究组,各57例。对照组采用传统开腹手术治疗,研究组实施腹腔镜联合胆道镜微创手术治疗。比较两组的治疗效果。结果研究组的手术时间、术后排气时间、术后住院时间均短于对照组,术中出血量少于对照组,差异具有统计学意义(P<0.05)。术后5 d,研究组的肾上腺素(E)、白细胞介素-6(IL-6)水平、白细胞计数(WBC)均低于对照组,差异具有统计学意义(P<0.05)。术后5 d,研究组的碱性磷酸酶(ALP)、谷氨酰转肽酶(GGT)水平均低于对照组,差异具有统计学意义(P<0.05)。研究组的术后并发症总发生率低于对照组,差异具有统计学意义(P<0.05)。研究组的治疗总有效率高于对照组,差异具有统计学意义(P<0.05)。结论腹腔镜联合胆道镜微创手术治疗胆囊结石并胆总管结石的临床效果较好,能加速患者术后恢复,改善炎症因子水平,降低并发症发生率,值得在临床中推广应用。Objective To explore the clinical effect of laparoscopy combined with choledochoscopy minimally invasive surgery in the treatment of cholecystolithiasis and choledocholithiasis.Methods A total of 114 patients with cholecystolithiasis and choledocholithiasis admitted in our hospital from July 2022 to July 2023 were selected as the research objects and randomly divided into control group and study group,with 57 cases in each group.The control group was treated with traditional laparotomy,and the study group was treated with laparoscopy combined with choledochoscopy minimally invasive surgery.The therapeutic effects of the two groups were compared.Results The operation time,postoperative exhaust time and postoperative hospitalization time of the study group were shorter than those of the control group,and the intraoperative blood loss was less than that of the control group,the differences were statistically significant(P<0.05).At 5 d after operation,the levels of epinephrine(E),interleukin-6(IL-6)and white blood cell count(WBC)in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).At 5 d after operation,the levels of alkaline phosphatase(ALP)and glutamyl transpeptidase(GGT)in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).The total incidence of postoperative complications in the study group was lower than that in the control group,and the difference was statistically significant(P<0.05).The total effective rate of treatment in the study group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Laparoscopy combined with choledochoscopy minimally invasive surgery has a good clinical effect in the treatment of cholecystolithiasis and choledocholithiasis,it can accelerate the postoperative recovery of patients,improve the level of inflammatory factors,and reduce the incidence of complications,which is worthy of popularization a

关 键 词：腹腔镜 胆道镜 胆囊结石 胆总管结石 

分 类 号：R657.4[医药卫生—外科学]