腹腔镜结合胆道镜治疗胆囊结石合并胆总管结石138例临床研究.docVIP

精品论文 参考文献 腹腔镜结合胆道镜治疗胆囊结石合并胆总管结石138例临床研究 （ 四川省凉山州甘洛县人民医院；四川凉山 616850） 　　【摘要】目的：分析腹腔镜结合胆道镜治疗胆囊结石合并胆总管结石的临床疗效。方法：使用腹腔镜结合胆道镜治疗138例胆囊结石合并胆总管结石患者（观察组），同时选择使用传统开腹手术治疗胆囊结石合并胆总管结石患者138例（对照组），对比观察组和对照组患者的临床疗效。结果：观察组和对照组结石清除率均为100%，复发率分别为0.7%、1.4%，两组患者的结石清除率和复发率差异无统计学意义（P＜0.05）。观察组的手术时间高于对照组，术中出血量、肛门首次排气时间以及住院时间低于对照组，术中出血量、肛门首次排气时间以及住院时间差异有统计学意义（P＜0.05），手术时间差异无统计学意义（P＞0.05）。观察组并发症几率7.2%；对照组并发症几率21.7%，并发症几率差异有统计学意义（P＜0.05）。结论：腹腔镜联合胆道镜治疗胆囊结石合并胆总管结石的效果显著，且安全性高，值得临床应用。 　　【关键词】腹腔镜；胆道镜；胆囊结石；胆总管结石；开腹手术 　　[Abstract]Objective: To analyze the clinical effect of laparoscopy combined with choledochoscope in the treatment of gallbladder stone with common bile duct stones. Methods: Using laparoscope combined with choledochoscope treatment of 138 patients with gallbladder stone with common bile duct calculi (observation group), at the same time, choose to use traditional open operation treatment of 138 patients with gallbladder stone with common bile duct calculi (control group), comparing the clinical curative effect of the observation group and the control group patients. Results: The observation group and the control group calculi clearance rate was 100%, the recurrence rate was 0.7%, 1.4%, two groups of patients with calculi clearance rate and recurrence rate difference has no statistical significance (P lt; 0.05).The observation group operating time is higher than the control group, intraoperative blood loss, anal exhaust time and hospital stay is lower than the control group for the first time, intraoperative blood loss, anal exhaust time, and the length of time for the first time difference was statistically significant (P lt; 0.05), there was no statistically significant difference at operation time (P gt; 0.05). Observation group complications were 7.2%; Control group complications were 21.7%, the complications were difference was statistically significant (P lt; 0.05). Conclusion: Laparoscopy combined with choledochoscopy in the treatment of gallbladder stones with choledocholithi