腹腔镜联合胆道镜治疗肝胆管结石的临床分析

目的探讨腹腔镜联合胆道镜治疗肝胆管结石的临床效果。方法采用回顾性方法分析，选取我院收治的86例肝胆管结石患者，随机将其分为对照组、观察组，各43例。对照组患者采用传统的开腹取石，观察组患者采用腹腔镜联合胆道镜下切开取石。比较两组患者手术之后各项指标情况。结果两组患者在术中出血量、住院时间、肛门排气时间、并发症发生率以及肝肌总管直径上差异具有统计学意义（P〈0．05）。结论对肝胆管结石患者采用腹腔镜联合胆道镜进行综合治疗，疗效显著，可做为治疗肝胆管结石的首选手段，值得临床推广。

Clinical analysis of iaparoscope combined with choledochoscope in treating hepatolith

Objective To study the clinical effect of laparoseope combined with choledochoscope on treating hepa- tolith. Methods Retrospectively analyzed the clinical data of 86 cases of patients with hepatolith, they were divided in- to two groups, 43 cases in each group. The patients in control group were treated with traditional laparotomy to remove the calculus, while the patients in observation group were treated with laparoseope and eholedoehoseope. The indica- tors of patients after surgery were compared. Results There was significant difference between the two groups in intra- operative blood loss, hospital stay, anal exhaust time, incidence of complication, and diameter of hepatic duct（P〈0.05）. Conclusion Laparoscope combined with choledochoscope have obvious curative effect in the treatment of hepatolith, they should be the first choice and worth clinical promotion.