腹腔镜联合微创保胆取石术治疗胆囊结石的疗效探讨

丁福超

（陕西汉中镇巴县中医院，陕西 汉中，723600）

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摘要：

目的 探究腹腔镜联合微创保胆取石术治疗胆囊结石的疗效。方法 选取本院2013年6月至2015年6月收治的进行胆囊结石治疗的患者100例，随机分为观察组与对照组，每组50 例。观察组患者采用腹腔镜联合微创保胆取石术，对 照组患者采用切开胆囊取石术。比较两组患者的手术治疗效果。结果 观察组患者手术时间、术中出血量、肛门排气时间 以及住院时间均优于对照组（P<0.05）；观察组结石复发率为4.00%（2/50），明显低于对照组的16.00%（8/50），差异具有统计学意义（P<0.05）；观察组的不良反应发生率为8.00%（4/50），略低于对照组的18.00%（9/50），差异无统计学意义（P>0.05）。结论 腹腔镜联合微创保胆取石术治疗胆囊结石的效果优于传统的胆囊切除术，且结石复发率，值得在临床应用上推广使用。

关键词：腹腔镜；微创保胆取石；胆囊结石

中图分类号：R657.42文献标志码：A文章编号：2096-1413(2017)31-0064-02

Curative effect of laparoscope combined with microinvasive gallbladder-protected lithotomy in treatment

of gallbladder calculi
DING Fu-chao
(Traditional Chinese Medicine Hospital of Zhenba County, Hanzhong 723600, China)

ABSTRACT: Objective To research the curative effect of laparoscope combined with microinvasive gallbladder-protected lithotomy in treatment of gallbladder calculi. Methods From June 2013 to June 2015, 100 cases of patients with gallbladder calculi admitted in our hospital were selected and randomly divided into research group and control group, with 50 cases in each group. The research group received laparoscope combined with microinvasive gallbladder-protected lithotomy, and the control group received cholecystotomy. The curative effects were compared between the two groups. Results The operation time, amounts of bleeding, anal exhaust time and the hospitalization time in the research group were better than those of the control group (P<0.05). The recurrence rate of gallstone in the research group was 4.00% (2/50), which was lower than 16.00% (8/50) of the control group (P<0.05). The incidence rate of adverse reactions in the research group was 8.00% (4/50), which was slightly lower than 18.00% (9/50) in the control group (P>0.05). Conclusion Laparoscope combined with
microinvasive gallbladder-protected lithotomy in treatment of gallbladder calculi has better curative effect, lower recurrence rate than tranditional cholecystotomy, which is worthy of clinical application.
KEYWORDS: laparoscope; microinvasive gallbladder-protected lithotomy; gallbladder calculi

参考文献：
[1] 陈理国,骆助林,石悦洪,等.腹腔镜联合胆道镜微创保胆取石术治疗胆囊结石[J].西南国防医药,2012,22(4):396-398.
[2] 肖金坛,张祝秋,危少华,等.腹腔镜联合胆道镜微创保胆取石术治疗胆囊结石98 例[J].实用临床医学,2013,14(11):34-36.
[3] 朱景波.腹腔镜联合胆道镜微创保胆取石术治疗胆囊结石的临床疗效探讨[J].中国继续医学教育,2016,8(23):129-130.
[4] CAWICH SO,MOHANTY SK,SIMPSON LK,et al.Is emergent laparoscopic cholecystectomy for acute cholecystitis safe in a low volume resource poor setting[J].Int J Surg,2014,12(8):798-802.
[5] 林正清,林彬生.腹腔镜胆囊切除术与腹腔镜胆道镜联合微创保胆取石术治疗胆结石的临床疗效比较[J].现代诊断与治疗,2014,25(2):244-246.
[6] 蒋胜昌,李俊,贾萌.腹腔镜、胆道镜联合微创保胆取石术在治疗胆囊结石中的应用价值[J].中国实用医药,2014,13(17):97-98.
[7] 赵海军.腹腔镜联合胆道镜微创保胆取石术治疗胆囊结石的临床疗效探讨[J].微创医学,2014,9(3):384-385.
[8] 江标良.胆道镜微创保胆取石术与小切口胆囊切除术治疗胆囊结石的疗效和预后[J].中国保健营养(旬刊),2012,22(1):83.
[9] 张晓峰,任锋,钱正东,等.腹腔镜、胆道镜联合微创保胆取石术在治疗胆囊结石中的应用价值分析[J].医药前沿,2016,6(27):186-187.
[10] 李泽伟.微创保胆取石术联合牛磺熊去氧胆酸与腹腔镜胆囊切 除术治疗胆囊结石的疗效对比[J].中国医药科学,2015,5(10):132-134.