腹腔镜联合胆道镜治疗胆结石的临床效果观察.docVIP

腹腔镜联合胆道镜治疗胆结石的临床效果观察 　　[摘要]目的 探讨腹腔镜联合胆道镜治疗胆结石的临床效果。方法 选取2008年3月～2016年3月我院收治的80例胆结石患者作为研究对象，根据治疗方法不同分为常规组和双镜组，各40例。常规组采用传统开腹手术治疗，双镜组采用腹腔镜联合胆道镜治疗。比较两组的手术时间、术中出血量、胃肠道恢复时间、镇痛药使用例数、住院天数、治疗效果及术后并发症发生率。结果 双镜组的手术时间、胃肠道恢复时间及住院天数显著短于常规组，术中出血量、镇痛药使用例数显著少于常规组，差异有统计学意义（P0.01）。双镜组的愈显率为90.0%，显著高于常规组的67.5%，差异有统计学意义（P0.05）。双镜组的并发症总发生率为5.0%，显著低于常规组的25.0%，差异有统计学意义（P0.05）。结论 腹腔镜联合胆道镜可明显提高胆结石的治疗效果，促进患者术后恢复，减少并发症的发生，可作为胆结石治疗的重要术式之一。 　　[关键词]胆结石；腹腔镜；胆道镜；疗效 　　[中图分类号] R575.6+2 [文献标识码] A [文章编号] 1674-4721（2016）10（a）-0035-03 　　[Abstract]Objective To explore the clinical efficacy of laparoscope combined with bile duct endoscope in the treatment of gallstones.Methods 80 patients with gallstones in our hospital from March 2008 to March 2016 were selected and divided into the conventional group and the double mirror group according to the different treatment methods，40 cases in each group.The conventional group was given conventional open surgery，and the double mirror group was treated by laparoscope combined with biliary endoscope.The operation time，intraoperative blood loss，gastrointestinal recovery time，analgesic use cases，hospital days，treatment effect and the incidence rate of postoperative complications in the two groups was compared.Results The operation time，recovery time of gastrointestinal tract and hospital days in the double mirror group was shorter than that in the conventional group，the amount of blood loss and the use of analgesics in the double mirror group was less than that in the conventional group，with significant difference （P0.01）.The cured and markedly effective rate in the double mirror group was 90.0%，which was higher than 67.5% in the conventional group，with significant difference （P0.05）.The incidence rate of total complications in the double mirror group was 5.0%，which was lower than 25.0% in the conventional group，with significant difference （P0.05）. Conclusion Laparoscope combined with bile duct endoscope can significantly improve the therapeutic effect of gall