【摘要】 目的分析腹腔镜联合胆道镜治疗胆囊胆总管结石的临床特点。方法将161例胆囊胆总管结石患者随机分成两组,其中对照组(81例)采取传统的开腹手术方式治疗,观察组(80例)采用腹腔镜联合胆道镜治疗,分析并比较上述两组患者的临床相关资料。结果两组患者的切口长度、出血量、住院天数、治疗费用、切口感染、术后疼痛、术后肛门排气时间及术后H-CRP水平比较,差异具有统计学意义(P<0.05)。结论腹腔镜联合纤维胆道镜取石具有创伤小、成功率高、恢复快、住院时间短、费用低以及术后并发症少等优势,充分体现了现代微创手术的治疗理念。更多还原

【Abstract】 Objective To analyze the clinical characteristics of laparoscopy combined with fiberoptic choledochoscope in the treatment of common bile duct and gallbladder stone.Methods Totally 161 patients with common bile duct and gallbladder stone were randomized into two groups.The patients in control group(n=81) were treated with open cholecystectomy while those in experimental group(n=80) were given laparoscopy combined with fiberoptic choledochoscope.The data of the two groups were compared and analyzed after the therapy finished.Results There were marked differences between two groups in incision length,intraoperative bleeding,hospital duration,treatment costs,incision infection,postoperative pain,recovery time of postoperative intestinal peristalsis and H-CRP level(P<0.05).ConclusionThe therapy of laparoscopy combined with fiberoptic choledochoscope for common bile duct and gallbladder stone is effective,minimally invasive and with fewer postoperative complications,it fully embodies the concept of modern minimally invasive surgery.更多还原