腹腔镜胆道镜联合取石术在肝内胆管结石治疗中应用.docVIP

腹腔镜胆道镜联合取石术在肝内胆管结石治疗中应用 　　[摘要] 目的 分析腹腔镜、胆道镜联合取石术在肝内胆管结石治疗中的应用价值。方法 整群选择该院2012年9月―2015年8月之间收治的103例肝内胆管结石患者作为观察对象，应用随机数法将其分为治疗组50例和对照组53例。对照组患者单纯应用传统手术治疗；治疗组患者联合腹腔镜、胆道镜取石术治疗，对比两组患者的手术时间、出血量、并发症发生率等指标。结果 两组患者的手术均获得成功，治疗组的结石清除率为94%，参照组患者的结石清除率为88.68%，结石清除率结果差异无统计学意义（P0.05）；治疗组的出血量和住院时间优于对照组，差异具有统计学意义（P0.05）；治疗组并发症发生率为4%；参照组并发症发生率为16.98%，差异具有统计学意义（P0.05）。结论 腹腔镜、胆道镜联合取石术在肝内胆管结石治疗中具有较高的应用价值。 　　[关键词] 腹腔镜；胆道镜；取石术；肝内胆管结石；应用价值 　　[中图分类号] R657 [文献标识码] A [文章编号] 1674-0742（2016）06（c）-0065-02 　　[Abstract] Objective To analyze laparoscopic biliary endoscopic lithotripsy applications in the treatment of intrahepatic bile duct stones.Methods Group selection a hospital in September 2012 - were treated between August 2015， 103 cases of intrahepatic bile duct stones in patients as the object of observation method using random number will be divided into 53 cases of the treatment group of 50 patients and the control group. Control group were tradition surgery； patients treated with laparoscopic biliary lithotomy treatment， compared two groups of patients with operative time， blood loss， complication rates and other indicators. Results Two groups of patients were successful surgery， the treatment group was 94% stone clearance， reference group of patients stone-free rate was 88.68%， stone clearance rate result was not statistically significant （P 0.05）； the amount of bleeding and treatment group hospital stay than the control group， the difference was statistically significant （P 0.05）； the treatment group complication rate was 4%； reference group complication rate was 16.98%， with statistical significance （P 0.05）.Conclusion The laparoscopic biliary endoscopic lithotripsy has a higher value in the treatment of intrahepatic bile duct stones. 　　[Key words] Laparoscopy； Cholangioscopy； Lithotripsy； Intrahepatic bile duct stones； Value 　　肝内胆管结石所指的是位于左右肝管汇合部以上的胆管结石，是肝胆外科中非常常见的结石疾病[1]。该文整群选择2012年9月―2015年8月之间收治的103例肝内胆管结石患者进行研究，通过分组对照研究探讨单独腹腔镜治疗以及腹腔镜与胆道镜联合取石术治疗肝内胆管的临床效果，现报道如下。 　　1 资料与方法