腹腔镜联合胆道镜治疗胆管结石临床分析.docVIP

腹腔镜联合胆道镜治疗胆管结石临床分析 　　doi：10.3969/j.issn.1007-614x.2014.11.31 　　摘 要 目的：探讨腹腔镜联合胆道镜治疗胆结石的临床价值。方法：收治胆结石患者104例，随机将其分为治疗组和对照组。对照组52例患者从治疗开始，利用传统的开腹切开胆管取石方法进行治疗，治疗组52例患者从治疗开始，使用腹腔镜联合胆道镜的方法进行治疗。临床观察对比两组的临床效果、住院时间、手术时间和并发症发生率。结果：治疗组总有效率93.33%，对照组总有效率73.33%。治疗组的住院时间和手术时间都明显短于对照组，两组结果对比差异有统计学意义（P0.05）。结论：腹腔镜联合胆道镜治疗胆结石患者的临床效果非常好，不良情况的发生率很低，有利于促进患者各方面的治疗实施状况。 　　关键词 腹腔镜 胆道镜 胆结石 临床分析 　　Clinical analysis of laparoscopy combined with choledochoscopy in the treatment of bile duct calculus 　　Tang Weizhi，Fan Yulin，Ge Xinghua 　　The First Department of General Surgery，Anhui General Hospital of Armed Police（Hefei City，Anhui） 230041 　　Abstract Objective：To explore the clinical value of laparoscopy combined with choledochoscopy in the treatment of cholelithiasis.Methods：104 patients with gallstones were selected，they were randomly divided into the treatment group and the control group with 52 cases in each.The control group was treated by conventional open operation to cut open the bile duct for the extraction of gallstones，the treatment group were treated by laparoscopy combined with choledochoscopy.The clinical effect，hospitalization time，operation time and incidence of complications of the two groups were compared.Results：In the treatment group，the total efficiency was 93.33%；in the control group，the total efficiency was 73.33%.In the treatment group，the hospitalization time and operation time was shorter than the control group，the difference was statistically significant（P0.05）.Conclusion：The clinical effect of laparoscopy combined with choledochoscopy in treatment of patients with cholelithiasis is very good，the incidence rate of adverse reaction is very low.It is helpful to promote the implementation of the treatment for patients. 　　Key words Laparoscope；Choledochoscope；Gallstone；Clinical analysis 　　资料与方法 　　2010年1月-2014年2月收治胆结石的患者104例，随机将其分为治疗组和对照组。治疗组52例，年龄25～65岁，平均（40.1±3.7）岁；对照组52例，年龄25～65岁，平均（41.9±4.1）岁。经过腹部B超和CT及MRI+MRCP，全部诊断为胆囊结石和胆总管结石患者。两组一般临床资料比较，差异无统计学意义（P0.05），具有可