摘要
目的 探讨腹腔镜联合胆道镜治疗胆囊结石合并胆总管结石与传统开腹手术的疗效差异.方法 回顾性分析80例胆囊结石合并胆总管结石患者的临床资料,其中48例行腹腔镜胆囊切除术（LC）±腹腔镜下胆道镜胆总管探查术（LCBDE）作为观察组,32例行传统开腹手术作为对照组,比较两组患者的疗效.结果 两组手术时间、结石清除率及住院费用比较差异无统计学意义（P＞0.05）.观察组术中出血量、术后住院时间、术后并发症发生率明显少于对照组[（28±5）ml比（32±11） ml、（6.0±11）d比（7.0±1.2）d、4.17％（2/48）比18.75％ （6/32）],差异有统计学意义（P＜0.05）.结论 腹腔镜联合胆道镜是治疗胆囊结石合并胆总管结石的有效方法.
Objective To investigate difference of clinical curative effect between laparoscope combined with choledochoscope and traditional laparotomy in treatment of cholecystolithiasis and choledocholithiasis.Methods The clinical data of 80 patients with cholecystolithiasis and choledocholithiasis were retrospectively analyzed,among whom 48 patients were given laparoscopic cholecystectomy （LC） ± laparoscopic common bile duct exploration （LCBDE） （observation group）,and 32 patients were given traditional laparotomy （control group）.The curative effect was compared between 2 groups.Results There were no statistical differences in operating time,calculi clearance rate and cost of hospitalization between 2 groups （P 〉 0.05）.The intraoperative bleeding,postoperative length of hospital stay,and rate of postoperative complication in observation group were significantly lower than those in control group：（28 ± 5） ml vs.（32 ± 11） ml,（6.0 ± 1.1） d vs.（7.0 ± 1.2） d,4.17% （2/48） vs.18.75% （6/32）,and there were statistical differences （P 〈 0.05）.Conclusion Laparoscope combined with choledochoscope is an effective treatment method of cholecystolithiasis and choledocholithiasis.
出处
《中国医师进修杂志》
2015年第3期178-180,共3页
Chinese Journal of Postgraduates of Medicine
关键词
腹腔镜
胆囊切除术
胆囊结石病
胆总管结石
胆道镜
Laparoscopes
Cholecystectomy
Cholecystolithiasis
Choledocholithiasis
Choledochoscope
作者简介
通信作者：鲍军，Email：30408862@qq．com
