关键词: 胆囊结石, 双镜, 开腹手术, 胆总管结石, 临床疗效

Abstract:

Objective To investigate the clinical effect of double-endoscopy combined with open surgery in patients with cholecystolithiasis complicated with common bile duct stones. Method From July 2018 to October 2021, 72 patients with cholecystolithiasis complicated with common bile duct stones in Zhangjiagang Third People's Hospital were randomly divided into groups, patients treated with open surgery alone were the control group, and patients treated with double-endoscopy combined technique were selected as the observation group,36 cases in each group. In the observation group, clinical indicators such as operation time were recorded, postoperative complications were counted, and differences in postoperative long-term efficacy were evaluated. Result The operation time, intraoperative blood loss and postoperative exhaust time of the observation group were significantly better than those of the control group (P ＜ 0.05). It was lower than that of the control group (16.67%, P ＜ 0.05); the excellent and good rate of the observation group was 100%, which was significantly better than that of the control group (88.89%, P ＜ 0.05). Conclusion Compared with traditional laparotomy, patients with cholecystolithiasis and common bile duct stones treated with dual-endoscope combined technique have significantly better surgical effect and less injury.

Key words: Cholecystolithiasis, Double endoscopy, Laparotomy, Common bile duct stones, Clinical efficacy