作　　者： (王宏斌）;

机构地区： 四川地质医院外科,四川成都610081

出　　处： 《医疗装备》 2017年第17期11-12,共2页

摘　　要： 目的探讨腹腔镜联合胆道镜治疗胆总管结石患者的临床效果。方法选取2012年10月至2017年2月于四川地质医院和四川省人民医院治疗的248例胆总管结石患者作为研究对象,根据随机数字表法将其分为对照组和试验组,每组124例。对照组采用传统开腹手术治疗,试验组采用腹腔镜联合胆道镜手术治疗,比较两组手术治疗情况、术后疼痛评分以及术后并发症发生率。结果试验组手术实施时间、术中出血量、首次排气时间、平均住院时间和术后疼痛评分均优于对照组,差异均有统计学意义(P<0.05);试验组术后并发症发生率为3.2%,低于对照组的12.1%,差异有统计学意义(P<0.05)。结论与传统开腹手术相比,腹腔镜联合胆道镜在治疗胆总管结石方面临床效果明显,不仅有助于缩短住院时间和减少术中出血量,还能减轻术后疼痛程度以及减少并发症发生率,促进患者早日康复。 ObjectiveTo analyze the clinical effect of laparoscopy combined with choledochoscopy in treatment of patients with common bile duct stones.Methods248 patients with hepatic duct calculi who accepted treatment during December 2012 to February 2016 in Sichuan Geological Hospital and Sichuan Provincial People ＇s Hospital were selected and divided into control group （124 cases） and experimental group （124 cases） randomly. The patients in control group were treated by traditional open surgery, whereas the patient in experimental group were treated by invasive laparoscopic surgery treatment. The surgical treatment, postoperative pain score and the incidence of postoperative complications were compared. ResultsLaparoscopic operative implementation time, intraoperative blood loss, the first exhaust time, the average hospitalization days and postoperative pain score of the experimental group were significantly better than the control group, the differences were statistically significant （P〈0.05）. The postoperative complications of experimental group was 3.2%,significantly lower than that of the control group, the differences were statistically significant （P〈0.05）. ConclusionCompared with the traditional open surgery, laparoscopy combined with choledochoscopy had obvious clinical effect in the treatment of bile duct stones, not only helping to shorten the hospitalization time and reducing the amount of bleeding, which could reduce postoperative pain and reduce the incidence of complications and promote early rehabilitation of patients.

关 键 词： 胆总管结石 腹腔镜联合胆道镜 临床疗效