摘要
目的探讨胆囊结石合并胆总管结石患者经由腹腔镜联合内镜治疗的效果。方法选取本院2017年1月至2018年8月接收的30例胆囊结石合并胆总管结石患者,随机分为观察组与对照组,各15例。分别接受腹腔镜联合内镜治疗、开腹胆囊切除术+胆总管切开取石"T"管引流治疗。对比治疗效果,观察术中术后基本情况。结果观察组治疗总有效率较对照组来说显著更高,且手术时间、术中出血量、术后肛门排气时间、住院时间较对照组来说均更低,比较P<0.05,差异有统计学意义。结论胆囊结石合并胆总管结石患者经腹腔镜联合内镜治疗后临床症状显著改善,结石清除较为彻底,并且具有微创性,促进了患者快速康复,可在临床中推广。
Objective To investigate the effect of laparoscopic combined with endoscopic treatment in patients with gallstones and common bile duct stones. Methods Thirty cases of cholecystolithiasis and choledocholithiasis received in our hospital from January 2017 to August 2018 were selected. They were randomly divided into observation group and control group, 15 cases in each group. Laparoscopic combined with endoscopic treatment, open cholecystectomy plus choledocholithotomy and ＂T＂ tube drainage were performed. Compare the effect of treatment, and observe the basic situation after operation. Results The total effective rate of the observation group was significantly higher than that of the control group, and the operation time, intraoperative blood loss, postoperative anal exhaust time, and hospitalization time were lower than those of the control group, compared with P<0.05. It is statistically significant. Conclusion The clinical symptoms of gallbladder stones combined with common bile duct stones are significantly improved after laparoscopic combined with endoscopic treatment. The stone removal is more thorough and minimally invasive, which promotes rapid recovery of patients and can be promoted in the clinic.
作者
祝建华
ZHU Jian-hua(Rudong County People＇s Hospital,Rudong,Jiangsu 22640)
出处
《智慧健康》
2018年第29期64-65,共2页
Smart Healthcare
关键词
胆囊结石
胆总管结石
腹腔镜
内镜
Gallstones
Common bile duct stones
Laparoscopy
Endoscopy
