摘要
目的评价腹腔镜联合纤维胆道镜治疗胆囊结石合并胆总管结石的临床效果。方法对比分析腹腔镜联合纤维胆道镜手术组(n=80)与开腹手术组(n=80)手术时间、术中出血量、胃肠功能恢复时间、术后住院天数、术后疼痛程度、术后并发症等。结果腹腔镜手术组长于开腹手术组(P<0.05);术中出血量、胃肠功能恢复时间、术后住院天数、术后疼痛程度、术后切口感染率低于开腹手术组(P<0.05);术后胆瘘、结石残余率两组比较差异无统计学意义(P>0.05)。结论腹腔镜联合纤维胆道镜治疗胆囊结石合并胆总管结石安全可靠,手术创伤小,术后恢复快,优于传统开腹手术,值得临床推广。
Objective To evaluate the therapeutic effect of cholecystolithiasis and choledocholithiasis treated by LC and laparoscopy combined with choledochoscopy.Methods The operative time,blood loss,time to passage of flatus,hospital stay,and rates of postoperative pain and complications were compared between the laparoscopic surgery group（n=80）and open surgery group（n=80）.Results In laparoscopic surgery group,the operative time was longer than that in open surgery group（P0.05）,whereas the blood loss,time to passage of flatus,hospital stay,rates of postoperative pain and wound infection were obviously lower than those in open surgery group（P0.05）.There was no significant difference of the rates of bile leakage and residual stone between the two groups（P0.05）.Conclusion The combined application of laparoscopy and choledochoscopy in the treatment of cholecystolithiasis and choledocholithiasis is safe and effective,and with the advantage of less trauma and quick recovery,that makes it superior to the open operation.
出处
《中国现代药物应用》
2011年第5期1-3,共3页
Chinese Journal of Modern Drug Application
关键词
胆总管结石
腹腔镜
胆道镜
胆道探查术
Choledocholithiasis
Laparoscopy
Choledochoscopy
Common bile duct exploration
