摘要
目的分析腹腔镜联合胆道镜治疗胆囊结石合并胆总管结石的效果和安全性。方法100例胆囊结石合并胆总管结石患者作为研究对象,随机分为实验组与对照组,各50例。对照组实施开腹手术,实验组实施腹腔镜联合胆道镜治疗。比较两组患者治疗情况、康复情况及术后并发症发生情况。结果实验组手术时间(79.15±3.55)min、术中出血量(95.05±10.82)ml均明显少于对照组的(105.61±3.20)min、(138.61±19.97)ml,差异有统计学意义(P<0.05)。实验组术后第1次排气时间(2.64±0.15)h、住院时间(7.01±1.23)d均明显短于对照组的(4.33±2.05)h、(11.94±1.85)d,差异有统计学意义(P<0.05)。实验组术后并发症发生率4.00%低于对照组的16.00%,差异有统计学意义(P<0.05)。结论在胆囊结石合并胆总管结石临床治疗中,选择腹腔镜联合胆道镜治疗作为其治疗方案可进一步提高临床疗效,降低并发症发生率。
Objective To analyze the effect and safety of laparoscopy combined with choledochoscopy in the treatment of cholecystolithiasis with choledocholithiasis.Methods A total of 100 case of cholecystolithiasis with choledocholithiasis were studied and randomly divided into experimental group and control group,with 50 cases in each group.The control group was treated with open surgery,and the experimental group was treated with laparoscopy and choledochoscopy.The treatment,recovery and postoperative complications of the two groups were compared.Results The operation time(79.15±3.55)min and intraoperative blood loss(95.05±10.82)ml in the experimental group were significantly less than(105.61±3.20)min and(138.61±19.97)ml in the control group,and the difference was statistically significant(P<0.05).The first postoperative exhaust time(2.64±0.15)h and hospitalization time(7.01±1.23)d in the experimental group were significantly shorter than(4.33±2.05)h and(11.94±1.85)d in the control group,and the difference was statistically significant(P<0.05).The postoperative complication rate 4.00%of the experimental group was lower than 16.00%of the control group,and the difference was statistically significant(P<0.05).Conclusion In the clinical treatment of cholecystolithiasis with choledocholithiasis,laparoscopy combined with choledochoscopy can further improve the clinical efficacy and reduce the complication rate.
作者
赵士鹏
ZHAO Shi-peng(Jianping County Hospital,Chaoyang 122400,China)
出处
《中国现代药物应用》
2021年第21期36-38,共3页
Chinese Journal of Modern Drug Application
关键词
胆囊结石
胆总管结石
腹腔镜
胆道镜
临床疗效
并发症
Cholecystolithiasis
Choledocholithiasis
Laparoscopy
Choledochoscopy
Clinical efficacy
Complications
