腹腔镜联合纤维胆道镜对高龄胆总管结石伴胆囊结石的治疗效果观察

目的:探讨高龄胆总管结石伴胆囊结石患者采用腹腔镜联合纤维胆道镜治疗的疗效.方法:选取88例胆囊结石合并胆总管结石患者,均为2011年5月至2014年5月期间住院患者,随机分为对照组(给予传统开腹手术,n=44)与观察组(给予腹腔镜联合纤维胆道镜治疗,n=44),观察两组临床疗效.结果:两组患者全部取石成功,观察组中途无开腹手术患者,术后检查显示均无残余结石;观察组术中出血量、住院时间及术后胃肠功能恢复时间显著低于对照组(P<0.05);对照组患者较观察组患者术后并发症发生率显著要高,具有明显差异性(P<0.05).结论:高龄胆总管结石伴胆囊结石患者采取腹腔镜联合纤维胆道镜治疗,疗效显著,且患者术后恢复快,创伤小,具有推广价值.

Observation of Therapeutic Effect of Laparoscopy combined with Fiber Bile Duct Endoscopy in the treatment of elderly patients with Common Duct Stones and Gallbladder Stones

Objective:To investigate the clinical effect of laparoscopic combined with fiber bile duct en-doscopy in the treatment of elderly patients with common bile duct stones and gallbladder stones. Methods:88 cases of cholecystolithiasis and choledocholithiasis patients admitted in our hospital during the period from May 2011 to May 2014 were selected and were randomly divided into control group ( treated with traditional open surgery, n=44) and observation group (given laparoscope combined with choledochoscope in the treatment, n=44) , observed the clinical curative effect of two groups. Results: The two groups were all successful, the observation group patients without laparotomy, postoperative examination showed no residual stones; the a-mount of bleeding, hospitalization time and postoperative gastrointestinal function recovery time was signifi-cantly lower than the control group ( P<0.05);The incidence of postoperative complications was significantly higher in the control group than in the observation group, with significant difference ( P<0.05) . Conclusion:The elderly patients with common bile duct stones and gallbladder stones are treated by laparoscopy combined with fiber bile duct endoscopy. The effect is remarkable, and the patients recover quickly, the wound is small. So it has the promotion value.