摘要
目的比较分析腹腔镜胆道镜双镜联合治疗胆总管结石与开腹治疗胆总管结石的疗效差异。方法选择2018年10月至2019年10月本院收治胆囊结石并胆总管结石患者69例,按随机数表分为两组,对照组使用开腹治疗,研究组采用腹腔镜胆道镜双镜联合治疗,对两组临床相关指标及并发症进行比较。结果研究组出血量与手术时间为(20.98±10.42)mL、(90.33±7.09)min,均比对照组少(P<0.05);研究组排便时间排便(43.32±12.79)h、肠鸣音恢复时间(13.09±6.53)h及肛门排气时间(27.91±10.90)h均比对照组短(P<0.05);研究组并发症发生率比对照组低(P<0.05)。结论腹腔镜胆道镜双镜联合治疗胆囊结石并胆总管结石患者,能缩短患者手术时间,减少术中出血量,还能降低并发症发生率,临床上值得推广使用。
Objective To compare and analyze the difference between the effect of laparoscopic choledochoscope combined treatment of common bile duct stones and open surgery for common bile duct stones.Methods Sixty-nine patients with gallbladder stones and common bile duct stones were treated in our hospital from October 2018 to October 2019.They were divided into two groups according to the random number table.The control group was treated with laparotomy and the research group was treated with laparoscopic choledochoscope.Then combined therapy,the clinically relevant indicators and complications were compared between the two groups.Results The bleeding volume and operation time in the study group were(20.98±10.42)mL and(90.33±7.09)minutes,which were less than those in the control group(P<0.05).The defecation time in the study group was(43.32±12.79)h,bowel sounds Recovery time(13.09±6.53)h and anal exhaust time(27.91±10.90)h were shorter than those in the control group(P<0.05);the incidence of complications in the study group was lower than that in the control group(P<0.05).Conclusion Laparoscopic choledochoscope combined treatment of patients with gallstones and common bile duct stones can shorten the operation time,reduce the amount of intraoperative blood loss,and reduce the incidence of complications.It is worth promoting in clinic.
作者
苏树炎
江庆斌
蔡焕武
SU Shu-yan;JIANG Qing-bin;CAI Huan-wu(Chaozhou people’s Hospital,Chaozhou,Guangdong 521000)
出处
《智慧健康》
2020年第17期160-161,166,共3页
Smart Healthcare
关键词
腹腔镜
胆道镜
胆结石
胆总管结石
临床疗效
Laparoscopy
Choledochoscope
Gallstones
Common bile duct stones
Clinical efficacy
