腹腔镜结合胆管镜手术治疗胆囊结石合并胆总管结石效果评价.docVIP

腹腔镜结合胆管镜手术治疗胆囊结石合并胆总管结石效果评价 　　摘要：目的 评价腹腔镜结合胆管镜手术治疗胆囊结石合并胆总管结石的效果。方法 随机选取2015年9月～2016年9月我院收治的胆囊结石合并胆总管结石患者62例，按照随机数字表法分为两组，对照组用传统开腹手术治疗，试验组用腹腔镜结合胆管镜手术治疗，对比两组治疗疗效。结果 试验组平均手术时间、术中出血量、胃肠功能恢复时间、平均住院天数与对照组差异显著（P0.05）；实验组患者的术后并发症率明显低于对照组（P0.05）。结论 腹腔镜结合胆管镜手术治疗胆囊结石合并胆总管结石的效果确切，可以减少术中的出血量，缩短患者的恢复时间，减少术后并发症，值得临床推广。 　　关键词：腹腔镜；胆管镜手术；胆囊结石；胆总管结石 　　中图分类号：R740 文献标识码：A 文章编号：1006-1959（2017）23-0048-03 　　Evaluation of Laparoscopic Cholecystectomy in the Treatment of Gallstones with Choledocholithiasis 　　ZHANG Xiao-tong 　　（Department of Surgery，Hexiwu Hospital，Wuqing District，Tianjin 301714，China） 　　Abstract：Objective To evaluate the effect of laparoscopic cholecystectomy in the treatment of gallstones with choledocholithiasis.Methods 62 patients with cholecystolithiasis and choledocholithiasis were randomly selected from September 2015～2016 year in September in our hospital were randomly divided into two groups，the control group were treated with traditional open surgery，the experimental group was treated with laparoscopy combined with choledochoscope surgery，treatment efficacy of two groups were compared.Results The experimental group average operation time， amount of bleeding during the surgery，gastrointestinal function recovery time，the average hospitalization days and the control group had significant difference（P0.05）；the complication rate of experimental group patients was significantly lower than the control group（P0.05）.Conclusion Laparoscopy combined with choledochoscope operation in the treatment of cholecystolithiasis and choledocholithiasis is effective and can reduce the amount of bleeding，shorten the recovery time of patients，reduce the postoperative complications，worthy of promotion. 　　Key words：Laparoscopy；Choledochoscopy；Cholecystolithiasis；Choledocholithiasis 　　近年?恚?随着经济水平的不断发展，人们的饮食结构和生活习惯也出现了较为明显的改变，导致我国胆石症的发病率呈不断上升趋势，据相关资料显示我国胆结石的发病率已经达6%左右，其中约有30%的患者为胆囊结石合并胆总管结石患者。严重的威胁着人类的身心健康，因此对于胆囊结石合并胆总管结石治疗方式的研究，一直是临床重点研究课题。近年来，随着腹腔镜技术的不断发展，腹腔镜结合胆管镜手术被广泛应用到胆囊结石合并胆总管