腹腔镜联合胆道镜取石术治疗胆石症的疗效观察

杨强

（阎良区人民医院，陕西 西安，710089）

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摘要：

目的 探讨腹腔镜联合胆道镜取石术治疗胆石症的临床效果。方法 将我院2014 年1 月至2017 年1 月收治的80 例胆 石症患者为研究对象，随机分为研究组和对照组，各40 例。研究组患者给予腹腔镜联合胆道镜取石术治疗，对照组患者给予 常规胆囊胆总管切开取石术治疗。观察两组患者的临床疗效、并发症发生情况和残留结石情况。结果 两组患者手术时间比 较差异不显著（P>0.05）。研究组患者术中出血量、排气时间、住院时间等均显著优于对照组（P<0.05）。研究组患者并发症总 发生率为7.50%，显著低于对照组的25.00%，组间差异显著（P<0.05），并发症均经对症治疗后得到有效缓解。结论 腹腔镜联 合胆道镜取石术治疗胆石症具有创伤小、恢复快、并发症少、操作简单等优点，在条件允许的情况下可推广使用。
 

关键词：胆石症；腹腔镜；胆道镜取石术

中图分类号：R657.4文献标志码：A文章编号：2096-1413(2018)06-0076-02

Clinical observation of laparoscopy combined with choledochoscopic lithotomy in the treatment of cholelithiasis
YANG Qiang
(the People``s Hospital of Yanliang District, Xi``an 710089, China)

ABSTRACT: Objective To investigate the clinical effect of laparoscopy combined with choledochoscopic lithotomy in the treatment of cholelithiasis. Methods A total of 80 patients of cholelithiasis admitted in our hospital from January 2014 to January 2017 were randomly divided into study group (40 cases) and control group (40 cases). The study group received laparoscopy combined with choledochoscopic lithotomy. The control group was treated with conventional choledocholithotomy. The curative effect, complication and residual stones of the two groups were observed. Results The operation time of the two groups was not significantly different (P>0.05). The blood loss, exhaust time and hospitalization time of the study group were significantly better than those of the control group (P <0.05). The total incidence of complications in the study group was 7.50%, which was significantly lower than 25.00% in the control group (P<0.05); the complications were effectively alleviated after symptomatic treatment. Conclusion Laparoscopy combined with choledochoscopic lithotomy in cholelithiasis has the advantages of less trauma, quick recovery, less complication and simple operation. It can be used in the permitting condition.
KEYWORDS: cholelithiasis; laparoscopy; choledochoscopic lithotomy

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