摘要
目的分析腹腔镜联合胆道镜钬激光肝胆管碎石的临床效果。方法选取我院收治的108例肝胆管结石患者作为研究对象,随机分组,各54例。常规组应用传统开腹手术进行治疗;联合组应用腹腔镜联合胆道镜狄激光进行治疗。统计两组患者结石取尽率及术后并发症发生率。结果常规组患者结石取尽率81.5%低于联合组96.3%,两组差异显著(P<0.05);常规组术后并发症发生率16.7%高于联合组3.7%,差异显著(P<0.05)。结论胆道镜与腹腔镜狄激光结合治疗肝胆管结石,可有效提高结石取尽率,降低其术后并发症发生率。
Objective Analysis of clinical effect of laparoscopy combined with Holmium laser lithotripsy with holmium laser. Methods 108 cases of patients with hepatic bile duct stones treated in our hospital were selected as the research objects, random grouping, each of 54 cases. The routine group was treated with traditional open surgery; The observation group was treated with laparoscopy combined with Holmium laser lithotripsy with holmium laser. The rate of stone and the incidence of postoperative complications of the two groups were statistically analyzed. Results In the conventional group, the rate of stone removal was 81.5% lower than that of the combined group 96.3%, the difference between the two groups was significant(P〈0.05); The incidence of postoperative complications in the conventional group was 16.7% higher than that in the combined group 3.7%, significant difference(P〈0.05). Conclusion Laparoscopy combined with Holmium laser lithotripsy with holmium laser for the treatment of bile duct stones, can effectively improve the stone clearance rate reduce the incidence of postoperative complications.
出处
《中国继续医学教育》
2016年第14期109-110,共2页
China Continuing Medical Education
关键词
腹腔镜
胆道镜
钬激光
肝胆管碎石
Laparoscopy
Bile duct endoscopy
Holmium laser
Lithotripsy