腹腔镜联合胆道镜治疗胆结石的临床效果分析.docVIP

腹腔镜联合胆道镜治疗胆结石的临床效果分析 　　摘要：目的 分析腹腔镜与胆道镜联合治疗方案在胆结石患者治疗中的临床价值。方法 回顾性分析我院接诊的160例胆结石患者的临床资料，按照患者治疗方法，将其中采用传统开腹手术进行治疗的80例患者分为对照组，将采用腹腔镜与胆道镜联合治疗方案的80例患者分为实验组。治疗结束后对两组患者的临床疗效进行评估，同时观察两组患者的手术时间、术后肠道恢复时间、住院时间、并发症发生情况等指标，并进行比较分析。结果 实验组治疗后的总有效率与对照组相比明显较高（P0.05），并发症发生率与对照组相比相对较少（P0.05）。与对照组相比，实验组患者的手术操作时间、术后肠道恢复时间、住院时间相对较低（P0.05）。结论 腹腔镜与胆道镜联合治疗方案治疗胆结石疗效显著，具有良好的临床应用价值。 　　关键词：胆结石；腹腔镜；胆道镜；临床疗效 　　Clinical Effect of Laparoscopy Combined with Bile Duct Endoscopy in the Treatment of Gallstones 　　YIN Qing-hua 　　（Department of General Surgery，The First Hospital of Changsha，Changsha 410005，Hunan，China） 　　Abstract：Objective To analyze the clinical value of laparoscopy combined with choledochoscopy in the treatment of patients with gallstones. Methods The clinical data of 160 patients with gallstones and who accepted treatments in our hospital were retrospective analyzed， aAccording to the method of treatment， 80 patients with conventional open surgery were divided into the control group， and 80 patients who were treated with laparoscopy combined with choledochoscopy were divided into the experimental group.Then， after treatment， the clinical effect of the two groups of patients were evaluated， and the operation time， postoperative intestinal recovery time， hospitalization time， complications and other indicators of the two groups were observed and compared.Results The total effective rate in the experimental group was significantly higher than that of the control group （P0.05）， and the incidence of complications was lower than that in the control group （P0.05）. In addition， compared with the control group， the operation time， postoperative intestinal recovery time and hospitalization time in the experimental group were lower（P0.05）. Conclusion The clinical effects of laparoscopy combined with choledochoscopy in the treatment of gallstones are significant， which should be promoted in the clinical application. 　　Key words：Gallstones； Laparoscopy ；Choledochoscopy； Clinical effect