摘要
Abstract
Objective:To study the clinical efficacy of laparoscopic combined with choledochoscopy in the treatment of cholecystolithiasis and choledocholith.Method:96 patients with cholecystolithiasis and choledocholith in our hospital from March 2011 to February 2013 were selected and randomly divided into two groups,with each group 48 cases.The laparotomy group was treated with conventional open surgery,the laparoscopic and choledochoscopy group was given the treatment of laparoscopic combined with choledochoscope,two years follow-up was given to the patients.The treatment effect,blood loss during operation, operative time,passage gas anus time,hospital stays,VAS scores,the occurrence of adverse events and the recurrence rates of the two groups were recorded and compared.Result:The treatment effect,blood loss during operation,operative time,passage gas anus time,hospital stays,VAS scores and the occurrence of adverse events in the laparoscopic and choledochoscopy group were better than those in the laparotomy group,the differences were statistically significant(P<0.05).The difference in the recurrence rates of the two groups was not statistically significant(P>0.05).Conclusion:The clinical effect of laparoscopic combined with choledochoscopy in the treatment of cholecystolithiasis and choledocholith is obvious.Minimally invasive treatment has the advantages of small wounds,less blood loss and quick recovery.It can reduce the incidence of adverse reactions and patients’ pain,it is worthy of clinical application.关键词
腹腔镜结合胆道镜/胆囊结石合并胆总管结石/临床效果Key words
Laparoscopic combined with choledochoscopy/Cholecystolithiasis and choledocholith/Clinical effect
