腹腔镜手术治疗胆囊结石合并胆总管结石的临床疗效观察

目的：探讨腹腔镜手术治疗胆囊结石合并胆总管结石的临床疗效.方法：回顾性分析本院2008年3月-2012年8月收治的80例胆囊结石合并胆总管结石患者的临床资料,随机将患者分为观察组（腹腔镜手术）和对照组（传统开腹手术）,每组各40例,观察两组患者的手术时间、术中出血量、术后排气时间、术后住院天数以及术后并发症情况.结果：观察组患者的手术时间、术中出血量、术后排气时间以及术后住院天数均少于对照组患者,比较差异有统计学意义（P〈0.05）.观察组患者术后疼痛程度较轻,术后6 h、24 h NRS疼痛评分显著低于对照组患者,比较差异有统计学意义（P〈0.05）.观察组患者术后并发症发生率为5.0%,显著低于对照组患者的25.0%,术后并发症发生率比较差异有统计学意义（P〈0.05）.结论：腹腔镜手术可作为一种安全有效治疗胆囊结石合并胆总管结石的方式,在临床进一步推广使用.

Clinical Curative Effect Observation of Laparoscopic Operation in Treatment of Cholecystolithiasis and Choledocholithiasis

Objective：To investigate the clinical curative effect of laparoscopic operation in treatment of cholecystolithiasis and choledocholithiasis. Method：A retrospective analysis of clinical data about 80 cases of cholecystolithiasis and choledocholithiasis in the hospital from 2008 March to 2012 August was operated,patients were divided into observation group（laparoscopic operation treatment）and control group（traditional open operation treatment）,40 cases in each group. To observe operation time,intraoperative blood loss,postoperative exhaust time,postoperative hospital stay and postoperative complications of patients in the two groups. Result：The operation time,bleeding volume,postoperative exhaust time and postoperative hospital stay of patients in the observation group was lower than that in the control group,the difference between the two groups was statistically significant （P〈0.05）. The postoperative pain of patients in the observation group had lesser extent,postoperative 6 h,24 h NRS pain score significantly lower than that in the control group,the difference between the two groups was statistically significant（P〈0.05）. The postoperative complication rate of patients in the observation group was 5%,significantly lower than that in control group（25%）,the difference between the two groups was statistically significant （P〈0.05）. Conclusion：Laparoscopic operation can be used as a safe and effective treatment of patients with cholecystolithiasis and choledocholithiasis, worthy of further clinical using.