河北医学2016，Vol.22Issue(5)：721-724,4.DOI:10.3969/j.issn.1006-6233.2016.05.007
腹腔镜联合胆道镜与传统开腹手术治疗胆囊结石合并胆总管结石的疗效对比
Comparison on Laparoscopy Combined with Choledochoscope and Traditional Open Surgery in the Treatment of Cholecystolithiasis with Choledocholithiasis
摘要
Abstract
Objective: To comparatively analyse on the clinical effect of laparoscopic combined with choledochoscope and traditional open surgery in the treatment of cholecystolithiasis with choledocholithiasis. Methods:95 cases of cholecystolithiasis with choledocholithiasis were randomly divided into observation group (50 cases) and control group (45 cases), observation group underwent laparoscopy combined with choledo-choscope, the control group underwent traditional open surgery. Observed and compared two groups of patients with surgery, postoperative complications and recurrence of stones. Results: There was no significant differ-ence in the operation time between the two groups ( P>0.05);The amount of bleeding in the observation group was significantly reduced compared with the control group, the postoperative anal exhaust time and hospital stay were significantly shorter than the control group, the difference was significant ( P<0.05);The postopera-tive complication rate ( 6%) of the observation group was significantly lower than that of the control group (20%), the difference was significant (P<0.05); The stone recurrence rate in the observation group(2%) was lower than that in the control group (4.4%), but no significant difference (P>0.05). Conclusion: The clinical effect of laparoscopy combined with choledochoscope in the treatment of cholecystolithiasis with chole-docholithiasis is remarkable. Compared with the traditional open operation, the amount of bleeding is less, the recovery is faster and the postoperative complication rate is low, it is worthy of clinical promotion.关键词
腹腔镜/胆道镜/开腹手术/胆囊结石合并胆总管结石Key words
Laparoscopy/Choledochoscope/Traditional open surgery/Cholecystolithiasis with choledocholithiasis引用本文复制引用
游勤建,袁发秀,宋平..腹腔镜联合胆道镜与传统开腹手术治疗胆囊结石合并胆总管结石的疗效对比[J].河北医学,2016,22(5):721-724,4.基金项目
四川省卫生厅指导性课题，(编号:120389) （编号:120389）
