摘要
目的：观察腹腔镜联合内镜治疗胆囊结石继发胆总管结石的临床效果。方法选取2011年2月～2013年2月在本院治疗的156例胆囊结石继发胆总管结石患者，按随机数字表法分为对照组和观察组，各78例，对照组行开腹切开胆总管取石与胆囊切除术，观察组行内镜乳头括〈肌切开胆总管取石及腹腔镜胆囊切除术，比较两组的手术时间和术后排便、排气、禁食时间及并发症发生率。结果观察组手术时间及术后排便、排气、禁食时间均明显短于对照组，差异有统计学意义（P〈0.05）；观察组并发症发生率明显低于对照组，差异有统计学意义（P〈0.05）。结论腹腔镜联合内镜治疗胆囊结石继发胆总管结石的临床效果显著，并发症发生率低，可提高患者的生活与工作质量，值得临床推广应用。
Objective To observe the clinical effect of laparoscopic combined with endoscopic in the treatment of cholecystolithiasis associated with choledocholithiasis. Methods 156 patients with cholecystolithiasis associated with choledocholithiasis from February 2011 to February 2013 in our hospital were selected and divided into control group and observation group according to random number table method,each group of 78 cases.Open choledocholithotomy and cholecystectomy were used in control group,laparoscopic cholecystectomy and endoscopic retrograde bile duct stone were used in observation group.The operation time,postoperative defecation time,exhaust time,fasting time and incidence rate of complication in two groups was compared respectively. Results Operation time,postoperative defecation time,exhaust time,fasting time of observation group was significantly shorter than that of control group respectively,with statistical difference （P〈0.05）.The incidence rate of complication in observation group was significantly lower than that in control group,with statistical difference （P〈0.05）. Conclusion The clinical effect of laparoscopic combined with endoscopic in the treatiment of cholecystolithiasis associated with choledocholithiasis is very remarkable,fewer complication, it can improve the quality of patient’s life and work,it is worthy of clinical promotion and application.
出处
《中国当代医药》
2014年第28期35-36,39,共3页
China Modern Medicine
关键词
腹腔镜
内镜
胆囊结石
胆总管结石
Laparoscope
Endoscopic
Cholecystolithiasis
Choledocholithiasis
