腹腔镜与胆道镜联合取石术治疗肝内胆管结石的疗效观察

目的探讨腹腔镜与胆道镜联合取石术治疗肝内外胆管结石的临床效果。方法选择32例腹腔镜联合胆道镜治疗的肝内胆管结石患者纳入观察组,随机选取同期采用开腹手术治疗的32例肝内胆管结石患者纳入对照组,比较两组患者围手术期指标及术后并发症情况。结果观察组患者手术时间长于对照组(P<0.05),但术中出血量、术后排气时间及住院时间均明显短于对照组,差异具有统计学意义(P<0.05);观察组术后并发症发生率为9.38%,对照组并发症发生率为31.25%,两组比较有显著差异(P<0.05)。结论腹腔镜与胆道镜联合取石术治疗肝内胆管结石具有疗效确切、创伤小、恢复快、安全可靠的优点。

Laparoscopic and choledochoscopic cholelithotrpsy for treatment of intrahepatic cholelithiasis

Objective To explore the clinical effect of laparoscopic and choledochoscopic cholelithotripsy for treatment of hepatolithiasis. Methods Thirty tw6 patients with hepatolithiasis treated by combination of laparoscopic and choledochoscopic choMithotripsy were included in observation group, 32 patients treated with laparotomy included in control group, and the perioperative indicators and postoperative complications were compared between these two groups. Results The operating time in observation group was longer than that of control group （ P 〈 0.05 ）, but the blood loss, postoperative exhaust time and hospitalization days were significantly shorter than those of control group, their difference was statistically significant （ P 〈 0. 05 ）. There were 3 cases with bile leakage in observation group, and the rates of complications in observation group and control group were 9.36% and 31.25 % respectively, and their difference was significant （ P 〈 0.05 ）. Conclusion The combination of lap- aroscopic and choledochoscopic cholelithotripsy in treatment of hepatolithiasis is effective, with less invasiveness and faster recovery, and it is safe and reliable.