临床普外科电子杂志 ›› 2022, Vol. 10 ›› Issue (1): 62-.

• • 上一篇    下一篇

腹腔镜联合胆道镜治疗胆总管结石的临床分析

  

  1. 南京鼓楼医院集团仪征医院 普外科,江苏 南京 211400
  • 出版日期:2022-01-01 发布日期:2022-03-22

Clinical analysis of laparoscopy combined with choledochoscopy in the treatment of common bile duct stones

  1. General Surgery Department of Yizheng Hospital of Nanjing Gulou Hospital Group,Jiangsu Nanjing 211400,China
  • Online:2022-01-01 Published:2022-03-22

摘要:

目的 探讨采取腹腔镜联合胆道镜治疗胆总管患者的临床疗效。方法 选取南京鼓楼医院集团仪征医院2018 年5 月至2021 年5 月收治的40 例胆囊结石合并胆总管结石患者,根据手术方式分为两组,研究组(20 例)采用常规开腹治疗胆总管结石,对照组(20 例)采用腹腔镜联合胆道镜的治疗方法,比较两组患者治疗后的总有效率、生活质量指标评分、住院时间、手术出血量以及手术时间。结果 研究组患者的总有效率和生活质量指数高于对照组,住院时间、手术时间短于对照组,手术出血量低于对照组,相关并发症发生率低于对照组(P < 0.05)。结论 临床治疗胆总管结石患者采取腹腔镜联合胆道镜的治疗方式具有明显的效果,患者的症状得到快速

的缓解,降低了相关并发症的发生概率,有利于患者的康复。

关键词: 腹腔镜, 胆道镜, 胆总管结石

Abstract:

Objective To investigate the clinical effect of laparoscopy in patients. Method 40 cases of gallbladder gallstone patients with gallstone, 40 patients in Yizheng Hospital of Nanjing Gulou Hospital Group from May 2018 to May 2021 were randomly divided into two groups, study group 20 cases using conventional open treatment of gallstone, control group 20 cases using laparoscopic combined endoscopic therapy. The two groups of patients with total efficiency, quality of life index score, hospital time, surgical bleeding and operation time were compared. Result After treatment, the total efficiency and quality of life index were higher in the study group than in the control group, the hospital stay time, operation time and surgical bleeding volume were lower than in the control group, and the incidence of related complications was lower than in the control group (P <0.05). Conclusion The clinical treatment of patients reduces the incidence of related complications and is beneficial to the recovery.

Key words: Laparoscopy, Choloscopy, Total bile duct stones