腹腔镜联合胆道镜治疗胆总管结石临床的研究.docVIP

腹腔镜联合胆道镜治疗胆总管结石临床的研究 　　[摘要] 目的 研究观察腹腔镜联合胆道镜治疗胆总管结石的临床效果。方法 整群选取研究者所在医院肝胆外科，自2012年4月―2014年3月期间该院收治的胆总管结石患者124例作为研究对象，将其随机分成观察组和对照组，每组62例，观察组采取腹腔镜联合胆道镜胆道探查取石术治疗，对照组采取开腹取石术治疗，比较两组临床疗效。结果观察组与对照组患者的结石清除手术均获成功；手术后 2 组患者的结石复发率比较，差异无统计学意义（P0.05）；观察组出血量、手术切口长度、术后并发症发生率均优于对照组，组间差异有统计学意义（P0.05）。结论 腹腔镜联合胆道镜治疗胆总管结石的临床效果良好，可在临床上推广。 　　[关键词] 腹腔镜；胆道镜；胆总管结石 　　[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2015）11（b）-0058-03 　　[Abstract] Objective To observe the clinical effect of laparoscope combined with choledochoscope in the treatment of common bile duct stones. Methods 124 patients with common bile duct stones admitted in Department of Hepatobiliary Surgery of our hospital from April 2012 to March 2014 were selected as the subjects and randomly divided into the observation group and the control group with 62 cases in each. Patients in the observation group were treated by the common bile duct exploration and removing the stone with laparoscope and choledochoscope， while the control group were treated by open surgery for removal of the stones. And the clinical efficacy of the two groups was compared. Results The stone removal surgery was successfully implemented in both groups. The difference in the postoperative stone recurrence between the two groups was not statistically significant（P0.05）. The observation group had less amount of bleeding， shorter length of incision and lower postoperative complication rate than the control group， with statistically significant differences（P0.05）. Conclusion The clinical effect of laparoscope combined with choledochoscope in the treatment of common bile duct stones is good， and it can be popularized in clinic. 　　[Key words] Laparoscope； Choledochoscope； Common bile duct stones 　　胆结石作为临床上比较常见的，多发的肝胆外科疾病，其特点为：病情复杂，急性发作[1]。传统治疗方法为开腹胆总管切开取石术，创伤较大，易发生术后切口感染的并发症，一定程度上影响患者术后恢复。目前，腹腔镜联合胆道镜治疗胆总管结石已应用于临床手术。该研究整群选取该院2012年4月―2014年3月收治的胆总管结石患者124例进行研究，主要探讨腹腔镜联合胆道镜治疗胆总管结石的临床效果及意义，现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　整群选取该研究者所在医院的肝胆外科，自2012年4月―2014年3月期间该院收治的胆总管结石患