河北医学2018，Vol.24Issue(1)：59-62,4.DOI:10.3969/j.issn.1006-6233.2018.01.014
腹腔镜联合肾镜治疗肝外胆道结石50例临床疗效分析
Clinical Analysis of 50 Cases of Cholelithiasis Treated by Laparoscopic Choledocholithotomy with Nephroscope
摘要
Abstract
Objective:To evaluate the clinical efficacy of laparoscopic cholecystectomy combined with laparoscopic choledocholithotomy using a rigid nephroscope in the treatment of 50 cases of cholelithiasis. Methods:A total of 100 patients with cholelithiasis admitted to the department of General Surgery of the Third People's Hospital of Hui Zhou were divided into observation group and control group according to random num-ber table. Patients in observation group were treated with laparoscopic cholecystectomy plus laparoscopic chole-docholithotomy performed using a rigid nephroscope, while those in control group were treated with traditional open operation. The total effective rate, operation duration, length of stay, time of postoperative anal exhaust, postoperative drainage tube indwelling time, intraoperative bleeding, incident rates of postoperative complica-tions, and the recurrence rate between the two groups were compared. Results:The total effective rate of clini-cal efficacy in the observation group was significantly higher than that in the control group (96.00％). The op-eration duration, length of stay, time of postoperative anal exhaust, and postoperative drainage tube indwelling time of the observation group were significantly shorter than those in control group ( P<0.05) . The intraopera-tive bleeding was significantly less in the observation group ( P <0.05) . There was no significant difference in the recurrence rate of stones between the two groups ( P>0.05) , while the incident rates of postoperative com-plications were significantly lower in the observation group (2.00％), the difference was statistically significant ( P<0.05) . Conclusion:Laparoscopic cholecystectomy combined with laparoscopic choledocholithotomy using a rigid nephroscope has higher effective rate, lower incident rates of postoperative complications, and causes less damage in the treatment of cholelithiasis, which are beneficial to the recovery of patients and makes it worth generalizing.关键词
腹腔镜/肾镜/胆道结石/临床疗效Key words
Laparoscopic/Nephroscope/Cholelithiasis/Clinical effect引用本文复制引用
黄进团,陈业晞..腹腔镜联合肾镜治疗肝外胆道结石50例临床疗效分析[J].河北医学,2018,24(1):59-62,4.基金项目
广东省惠州市科技计划项目,(编号:20140802) （编号:20140802）
