腹腔镜胆囊切除术与保胆取石术治疗胆囊结石的比较研究

目的：分析腹腔镜胆囊切除术与保胆取石术治疗胆囊结石的意义。方法：选取2010年5月-2011年5月本院治疗的139例胆囊结石患者，根据手术方法不同将其分为对照组69例和观察组70例。对照组采用腹腔镜胆囊切除术；观察组采用腹腔镜与胆道镜联合行保胆取石术。观察两组手术情况。结果：腹腔镜与胆道镜联合保胆取石手术组术后患者均恢复良好，术中平均出血量、术后排气时间及住院时间分别为（15.8±6.6）mL，（10.3±4.3）h及（3.2±1.8）d，而术后止痛剂使用率为11.4%，且术后观察组并发症发生率为20.0%（14/70），均明显优于采用腹腔镜胆囊切除手术的对照组，比较差异均有统计学意义（P〈0.05）。结论：与腹腔镜胆囊切除术相比，腹腔镜与胆道镜联合保胆取石术有手术创伤小、组织恢复快、并发症发生率低等优点，有重要的临床价值。

Comparative Study of Laparoscopic Cholecystectomy and Endoscopic Minimally Invasive Cholecystolithotomy in Treatment of Gallbladder Calculi

Objective：To analyze laparoscopiccholecystectomy and mini-cholecystolithotomy in treatment of cholecystolithiasis significance. Method：In the treatment of 139 gallbladder stones patients were selected in our hospital from May 2010 to May 2011.The control group was treated with laparoscopic cholecystectomy;the observation group was treated with combined laparoscopic and choledochoscopic mini-cholecystolithotomy.The operation condition of the two groups were observed.Result：Laparoscopic and choledochoscopic cholecystolithotomy operation postoperative patients recovered well,the average amount of bleeding,postoperative exhaust time during operation and hospitalization time were（15.8±6.6）mL,（10.3±4.3） h and（3.2±1.8）d,and postoperative analgesic use was 11.4%,and the postoperative complication rate of the observation group was 20.0%（14/70）, laparoscopic cholecystectomy operation were significantly higher than those in the control group,there were statistically significant differences（P〈0.05）. Conclusion：Compared with laparoscopic cholecystectomy,laparoscopic and choledochoscopic cholecystolithotomy operation has small operation wound, fast recovery,complication rate is low,it has important clinical value.