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目的探讨腹腔镜和胆道镜联合治疗胆总管结石的临床疗效。方法 82例胆总管结石患者,随机分为观察组和对照组,每组41例,对照组行开腹手术治疗,观察组行腹腔镜和胆道镜联合治疗,比较两组患者的临床疗效。结果 82例患者手术均获成功,但两组患者手术时间、术中出血量、住院时间、胃肠功能恢复时间及并发症发生率比较差异具有统计学意义(P<0.05)。结论采用腹腔镜和胆道镜联合治疗胆总管结石可取得良好的效果,且具有创伤小、出血量少、恢复快、并发症少等特点,具有较高的应用价值,应推广应用。
Objective To investigate the clinical efficacy of laparoscopic and choledochoscope in the treatment of choledocholithiasis. Methods 82 patients with choledocholithiasis were randomly divided into observation group and control group, 41 cases in each group. The control group underwent laparotomy and the observation group underwent laparoscopic and choledochoscope combined treatment. The clinical curative effect was compared between the two groups. Results All the 82 cases were operated successfully. However, the operation time, intraoperative blood loss, hospitalization time, recovery time of gastrointestinal function and complication rate were significantly different between the two groups (P <0.05). Conclusion The laparoscopic and choledochoscope combined treatment of common bile duct stones can achieve good results, and has less trauma, less bleeding, rapid recovery, fewer complications, has a high value, should be widely applied.