探讨腹腔镜联合胆道镜治疗胆囊息肉合并胆囊结石临床疗效.docVIP

精品论文 参考文献 探讨腹腔镜联合胆道镜治疗胆囊息肉合并胆囊结石临床疗效 四川省北川羌族自治县人民医院普外科 四川 绵阳 622750 摘要：目的 探讨腹腔镜联合胆道镜治疗胆囊息肉合并胆囊结石的临床疗效。方法 选取我院接收的胆囊息肉合并胆囊结石患者60例，随机分为对照组和观察组，每组各30例，对照组采用传统开腹手术治疗，观察组采用腹腔镜联合胆道镜治疗，对比观察两组的临床疗效。结果 与对照组相比，观察组患者手术时间、术中出血量、胃肠活动时间及住院时间均明显较少，且观察组术后并发症发生率与随访期间复发率均明显较低，差异均有统计学意义（Plt;0.05）。结论 腹腔镜联合胆道镜治疗胆囊息肉合并胆囊结石疗效显著，值得在临床上推广应用。 Abstract: Objective To investigate the clinical effect of laparoscopy combined with bile duct endoscopy in the treatment of gallbladder polyps with gallbladder stones. Methods 60 patients with cholecystolithiasis and gallbladder polyps in our hospital received patients were randomly divided into control group and observation group, 30 cases in each group, the control group using the traditional open surgery, observation group were treated with laparoscopy combined with choledochoscopy in treatment, observe the clinical efficacy of the two groups. Results compared with the control group, the observation group of patients with operation time, intraoperative blood loss, gastrointestinal activity time and hospitalization time were significantly less in the observation group, postoperative complications occurred during the follow-up rate and recurrence rate were significantly lower, the differences were statistically significant (Plt;0.05). Conclusion laparoscopic combined with bile duct endoscopy in the treatment of gallbladder polyps with gallbladder stones is significant, it is worth to be popularized in clinical application. 关键词：腹腔镜；胆道镜；疗效 胆囊息肉合并胆囊结石是临床上比较常见的消化系统疾病，近年来，我国胆囊疾病患病率呈不断上升的趋势，严重损害了患者的身心健康[1]。随着临床检测水平的不断进步，胆囊息肉合并胆囊结石的检测成功率不断提高，临床上主要采用手术进行治疗，手术方法主要有两种，即开腹手术和腹腔镜手术。腹腔镜联合胆道镜保???取石术属于微创手术，具有创伤小、并发症少、预后良好等优势，因此被广泛应用在普外科临床实践中。笔者对我院收治的60例胆囊息肉合并胆囊结石患者分别实施传统开腹手术和腹腔镜联合胆道镜治疗，旨在探讨腹腔镜联合胆道镜在胆囊息肉合并胆囊结石保胆取石术治疗中的效果，为临床治疗胆囊息肉合并胆囊结石提供有利依据，现报道如下。 1 资料与方法 1.1 一般资料 选取我院2011年2月至2016年4月期间收治的胆囊息肉合并胆囊结石患者60例作为研究对象，随机分为对照组和观察组。对照组30例，其中男性患者19例，女性患者11例；患者年龄34~76岁，平均年龄（45.4plusmn;2.4）岁；胆囊结石病史1～11年，平均病史（4.5plusmn;1.2）年；胆囊息肉患病时间1～17个月，平均患病时间（5.2plu