【摘要】 目的:探讨腹腔镜联合纤维胆道镜治疗胆道术后胆总管复发结石的临床疗效与并发症。方法:回顾分析2013年1月至2016年11月收治的121例胆道术后胆总管复发结石患者的临床资料,将其分为两组,观察组行腹腔镜联合纤维胆道镜手术,对照组行开腹胆总管切开取石术联合T管引流术。对比两组手术时间、术中出血量、术后肛门排气时间、术后住院时间、取石成功率与并发症发生率。结果:两组手术时间差异无统计学意义(P>0.05),观察组术中出血量、术后肛门排气时间、术后住院时间、术后并发症发生率优于对照组(P<0.05)。取石成功率观察组为96.72%,对照组为96.67%(P>0.05)。结论:腹腔镜联合纤维胆道镜手术治疗胆道术后胆总管复发结石临床疗效显著,并发症发生率较低,值得临床推广应用。更多还原

【Abstract】 Objective: To investigate the clinical effect and complications of laparoscopic combined with choledochoscopic treatment of recurrence of choledocholithiasis after choledocholithotomy. Methods: The clinical data of 121 patients with choledocholithiasis recurrence after choledocholithotomy from Jan. 2013 to Nov. 2106 were retrospectively analyzed,and they were divided into observation group( laparoscopic combined with choledochoscopic treatment) and control group( open choledocholithotomy combined with T-tube drainage). The operative time,intraoperative blood loss,anal exhaust time,postoperative hospital stay,successful rate of calculi removal and rate of side effects in the two groups were compared. Results: There were no significant differences between the two groups in operation time( P > 0. 05). The intraoperative blood loss and the rate of side effects in the observation group was significantly lower than that of the control group( P < 0. 05),the exhaust time and hospital stay in the observation group was significantly shorter than that in the control group( P < 0. 05). The successful rate of calculi removal in the observation group was 96. 72%,which was not significantly different from the control group( 96. 67%,P > 0. 05). Conclusions: The clinical effect of laparoscopic combined with choledochoscopic treatment of recurrence of choledocholithiasis after choledocholithotomy is significant. With less side effects,this procedure is worth popularization in clinic.更多还原