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。
Objective To investigate the clinical effect of laparoscopy combined with choledochoscopic lithotomy in the treatment of cholelithiasis.Methods A total of80patients of cholelithiasis admitted in our hospital from January2014to January2017were randomly divided into study group(40cases)and control group(40cases).The study group received laparoscopy combined with choledochoscopic lithotomy.The control group was treated with conventionalcholedocholithotomy.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 was7.50%,which was significantly lower than25.00%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.
作者
杨强
YANG Qiang(the People's Hospital of Yanliang District, Xi'an 710089, China)
出处
《临床医学研究与实践》
2018年第6期76-77,共2页
Clinical Research and Practice
关键词
胆石症
腹腔镜
胆道镜取石术
cholelithiasis
laparoscopy
choledochoscopic lithotomy
作者简介
杨强(1975- ),男,汉族,陕西临潼人,主治医师,学士。研究方向:普外科及微创外科。
