摘要
【目的】探讨腹腔镜、胆道镜两镜联用保胆取石术治疗胆囊结石的疗效和方法。【方法】本院78例胆囊结石患者随机分为研究组和对照组，每组39例，对照组患者采用传统的腹腔镜胆囊切除手术；研究组患者均采用腹腔镜、胆道镜两镜联合保胆取石术，比较两组患者的临床疗效。【结果】两组患者手术时间相比较无显著差异（P〉0．05）；研究组较对照组患者术中出血量少、、并发症发生率低，术后排气时间和住院时间明显缩短，且两组相比较有显著差异（P〈0．05）。两组患者术前生活质量评分无显著差异（P〉0．05）；术后生活质量均有明显提升，且研究组患者评分明显优于对照组（P〈0．05）。【结论】腹腔镜和胆道镜联用保胆取石术治疗胆囊结石具有较好的有效性和安全性，可最大限度地保留患者生理解剖结构的完整性，减少手术创伤和术后并发症发生率，提高康复速度，并提高患者的生活质量，适合于临床推广应用。
[Objective]To explore the efficacy and method of laparoscopic choledochoscope endoscopic lith- otripsy of gallbladder for the treatment of gallstone. [Methods] Totally 78 patients with gallstone were ran- domly divided into study group（ n =39） and control group（ n =39）. The control group was treated with tradi- tional laparoscopic cholecystectomy, while the study group was treated with laparoscopic choledochoscope en- doscopic lithotripsy of gallbladder. The clinical efficacy was compared between two groups. [Results] There was no significant difference in the operation time between two groups（ P 〉0.05）. Compared with control group, the study group had less blood loss, low incidence of complications, short postoperative exhaust time and length of hospital stay, and there was significant different between two groups（ P 〈0.05）. There was significant difference in the scores of quality of life between two groups before the operation（ P 〉0.05）. After the operation, the quality of life was obviously improved, and the quality of life in the study group was obvi- ously better than the control group（ P 〈0.05）. [Conclusion] Laparoscopic choledochoscope endoscopic litho- tripsy of gallbladder for the treatment of gallstone has better efficacy and safety, and can maximize the reten- tion of the structural integrity of the anatomy and physiology of patients, and reduce the incidence of surgical trauma and postoperative complications, and speed healing, and improve the quality of life of patients. There- fore it is suitable for clinical promotion.
出处
《医学临床研究》
CAS
2013年第2期303-305,共3页
Journal of Clinical Research
关键词
胆结石
外科学
腹腔镜
cholelithiasis/SU laparoscopes
