检验医学与临床Issue(18)：2736-2737,2740,3.DOI:10.3969/j.issn.1672-9455.2015.18.035
两种方法在治疗胆囊结石合并胆总管结石的研究
Study on two kinds of method for treating cholecystolithiasis complicated with choledocholithiasis
柯延壮 1候本新 1刘松平 1冯强1
作者信息
- 1. 海南省农垦三亚医院普外科，海南三亚 572000
- 折叠
摘要
Abstract
Objective To compare the curative efficacy of laparoscope combined with choledochoscope and tra‐ditional open surgery in the treatment of cholecystolithiasis complicated with choledocholithiasis .Methods The clini‐cal data in 95 cases of cholecystolithiasis complicated with choledocholithiasis treated with surgery in our hospital from January 2011 to December 2013 were retrospectively analyzed .The patients were divided into the control group (n= 45) and the observation group(n= 50) according to the operation modes .The control group was given the tradi‐tional open surgery ,while the observation group was performed the laparoscopy combined with choledochoscopy op‐eration .Then the operation time ,introperative bleeding volume ,postoperative anal exhausting time ,hospitalization time ,incidence of postoperative complications and calculi recurrence rate were compared between the two groups .Re‐sults Compared with the control group ,the intraoperative bleeding volume in the observation group was significantly decreased ,postoperative anal exhausting time and the hospitalization time were significantly shortened ,the differences were statistically significant (P< 0 .05) ,while the peration time had no statistical difference between the two groups (P> 0 .05) .The incidence rate of postoperative complications in the observation group was 6 .0% ,which was signifi‐cantly lower than 20 .0% in the control group(P< 0 .05) .After the one‐year follow‐up ,the calculi recurrence rate was 2 .0% in the observation group and 4 .4% in the control group ,showing no statistical difference between them(P>0 .05) .Conclusion Laparoscopy combined with choledochoscopy is an effective and safe operation mode for treating cholecystolithiasis complicated with choledocholithiasis ,in comparison with the traditional open surgery ,which has less bleed loss during surgery ,rapid postoperative recovery and lower incidence of postoperative complications ,and is worthy clinical further promotion .关键词
腹腔镜/胆道镜/开腹手术/胆囊结石/胆总管结石Key words
laparoscope/choledochoscope/open surgery/cholecystolithiasis/choledocholithiasis引用本文复制引用
柯延壮,候本新,刘松平,冯强..两种方法在治疗胆囊结石合并胆总管结石的研究[J].检验医学与临床,2015,(18):2736-2737,2740,3.
