腹腔镜联合胆道镜治疗胆囊结石合并胆总管结石临床疗效研究

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1、腹腔镜联合胆道镜治疗胆囊结石合并胆总管结石临床疗效研究廖学斌姚晶(四川省成都市都江堰市医疗屮心外二科四川成都611800)【摘要】口的：探讨腹腔镜联合胆道镜治疗胆囊结石合并胆总管结石的疗效。方法:将86例胆囊结石合并胆总管结石患者,根据手术方式不同,分为传统开腹手术(A组)和腹腔镜联合胆道镜组(B组)，各43例。比较两组术屮出血量、手术时间、术后首次排气时间、使用镇痛剂例数、术后住院时间、住院费用、结石清除率及其术后近期并发症情况。结果:B组术中出血量比A组少(P<0.05)；B组的手术时间、术后排气时间及其术后住院时间比A组均短(P<0.05)；B组

2、使用镇痛剂例数比A组少(P<0.05)；B组发生残余结石、胆漏及其胆道损伤的例数与A组差异无统计学意义(P>0.05)；术后近期B组发生切口感染和肺部感染的例数比A组多，(P<0.05)o结论：腹腔镜联合胆道镜治疗胆囊结石合并胆总管结石可减少术屮出血量、缩短手术时间、术后胃肠功能恢复时间，降低术后近期并发症，减少住院时间，是一种安全、有效、可行的微创治疗方式。【关键词】胆囊结石；胆总管结石；腹腔镜；胆道镜【屮图分类号】R657.4+2【文献标识码】A【文章编号】2095-1752(2016)06-0239-02Theclinicalrearcho

3、fthatlaparoscopejointcholedochoscopeinthetreatmentofcholecystolithiasiscombinecholedocholithiasisLiaoXuebin,YaoJingDepartmentofSurgery,MedicalcenterofofDujiangyanSichuanProvinee,SichuanChengDu611800,China[Abstract]ObjectiveToexploretheeffectivenessinlaparoscopicjointcholedochoscopeint

4、hetreatmentofcholecys-tolithiasiscombinecholedocholithiasis.MethodsAccordingtotheoperationinadifferentway86patientswithfcholecys-tolithiasiscombinecholedocholithiasiswererandomlydividedintotraditionallaparotomygroup(A)andlaparoscopicjointcholedochoscopegroup(B)with43casesineachgroup・d

5、rainage」ntraoperativeamountofbleeding,operationtime,analexhausttime,postoperativehospitalizationtimeandtheincideneeofpostoperativecomplicationsoftwotreatmentwerecompared.ResultsTheintraoperativeamountofbleedingofgroupBwaslessthangroupA(P<0.05).Theoperationtime,analexhausttime,posto

6、perativehospitalizationtimeofgroupBwereshorterthangroupA(P<0.05);TheuseanalgesicscasesofgroupBwaslessthangroupA(P<0.05);Twogroupsafteroperation,residualcalculi,bileleakageandbileductinjurycaseswerenotstatisticallysign讦icant(P>0.05);Theincisioninfectionandpulmonaryinfectioncas

7、esofgroupBwasmorethangroupA(P<0.05).ConclusionLaparoscopicjointcholedochoscopeinthetreatmentofcholecys-tolithiasiscombinecholedocholithiasiscanreduceintraoperativebloodloss,shortentheoperationtime,postoperativegastrointestinalfunctionrecoverytime,reducethepostoperativecomplications

8、,redu