内镜联合腔镜手术与传统开腹手术治疗胆囊结石合并胆管结石的临床疗效对比.docVIP

内镜联合腔镜手术与传统开腹手术治疗胆囊结石合并胆管结石的临床疗效对比 　　摘要：目的 探讨内镜联合腔镜手术与传统开腹手术治疗胆囊结石合并胆管结石的临床疗效对比。方法 对我院收治的60例胆囊结石合并胆管结石患者临床资料进行回顾性分析，定义传统开腹手术治疗患者30例作为对照组，内镜联合腔镜手术治疗患者30例则为观察组，观察两组患者的治疗效果。结果 两组患者临床指标、结石残余情况、再次行手术率对比差异具有统计学意义（P0.05）。结论 内镜联合腔镜手术治疗胆囊结石合并胆管结石的临床疗效优于传统开腹手术，值得推广。 　　关键词：内镜；腔镜；传统开腹手术；胆囊结石合并胆管结石 　　Comparison of the Efficacy of Endoscopy Combined with Endoscopic Surgery and Traditional Open Surgery in the Treatment of Gallbladder Stones with Bile Duct Stones 　　HUANG Li 　　（Pujiang County Hospital of Traditional Chinese Medicine，Chengdu 611630，Sichuan，China） 　　Abstract：Objective To investigate the clinical therapeutic efficacy of combined endoscopic laparoscopic surgery and traditional open surgery in the treatment of gallbladder calculi complicated with bile duct calculi. Methods In our hospital 60 patients with gallbladder stones with bile duct stones in patients with clinical data were retrospectively analyzed， the definition of 30 cases of traditional open surgery patients as the control group， 30 cases of endoscopy combined with laparoscopic surgery in the treatment of patients with is the observation group， to observe the curative effect of two groups of patients. Results Two groups patients with clinical parameters， residual stones， again， operation rate difference was statistically significant （P 0.05）. Conclusion Endoscopic combined endoscopic surgery in the treatment of gallbladder stones with bile duct stones of clinical curative effect is superior to the traditional open surgery. It is worth popularizing. 　　Key words：Endoscopy； Laparoscopy； Laparotomy；Gallbladder stones with bile duct stones 　　??统计我国成年人胆囊结石患病率为10%左右，其中15%患者合并胆管结石，发病率处于较高的水平。随着内镜技术的应用发展，在胆囊结石合并胆管结石治疗中逐渐得到医患的认可。笔者主要探讨内镜联合腔镜手术与传统开腹手术治疗胆囊结石合并胆管结石的临床疗效对比，将结果报告如下： 　　1资料与方法 　　1.1一般资料 选取60例我院于2014年1月～2015年6月收治的胆囊结石合并胆管结石患者作为研究对象，本研究已经我院伦理委员会批准，所有患者均知情同意，根据治疗方式不同分为对照组和观察组各30例。对照组患者男20例，女10例，年龄20～70岁，平均年龄（48.2±4.1）岁；患病时间1～20年，平均患病时间（10.3±2.4）年。观察组患者男21例，女9例，年龄20～71岁，平均年龄（48.6±4.5）岁；患病时间2～20年，平均患