【摘要】 目的探讨治疗胆囊结石合并胆总管结石两种术式(腹腔镜与开腹)的临床疗效。方法收集104例胆囊结石合并胆总管结石患者资料,其中56例行开腹手术(开腹组),48例行腹腔镜手术(腔镜组),观察对比两组患者在手术时间、术中出血量、术后并发症等方面的差异。结果腔镜组患者手术时间、术中出血量、术后恢复时间均少于开腹组,差异具有统计学意义(P<0.05);且开腹组术后并发症的发生率(21.4%)明显高于腔镜组(6.25%),差异有统计学意义(P<0.05);腔镜组患者术后一年结石复发率2%(1/48),开腹组为3.57%(2/56),其差异无统计学意义(P>0.05)。结论腹腔镜在治疗胆囊结石合并胆总管结石方面具有创伤小、恢复快、术后并发症少等优势,利于在地市级医院推广应用。更多还原

【Abstract】 Objective To investigate the clinical effect of laparoscopy and laparotomy in the treatment of cholecystolithiasis with choledocholithiasis. Methods 104 cases of cholecystolithiasis complicated with choledocholithiasis were collected. 56 cases underwent laparotomy(laparotomy group) and 48 cases underwent laparoscopy(endoscopy group). The differences of operation time, intraoperative bleeding volume and postoperative complications between the two groups were observed and compared. Results The operative time, intraoperative bleeding volume and postoperative recovery time of the laparoscopic group were significantly less than those of the open group(P<0.05), and the incidence of postoperative complications in the open group(21.4%) was significantly higher than that of the endoscopic group(6.25%), the difference was statistically significant(P<0.05). The incidence rate was 2%(1/48), and the laparotomy group was 3.57%(2/56), the difference was not statistically significant(P>0.05). Conclusion Laparoscopy in the treatment of cholecystolithiasis with choledocholithiasis has the advantages of less trauma, rapid recovery, fewer postoperative complications, which is conducive to the promotion and application in municipal hospitals.更多还原