腹腔镜及胆道镜联合应用治疗胆道结石的效果分析(1)
【摘 要】目的：研究腹腔镜及胆道镜联合应用治疗胆道结石的效果。方法：选取于2016年1月-2018年1月期间，在我院接受治疗的胆道结石患者96例，根据患者的就诊顺序将患者分为2组，对照组患者接受传统开腹手术治疗，实验组患者接受腹腔镜及胆道镜联合应用治疗，对比两组患者的手术指标、并发症的发生几率和临床治疗效果。结果：实验组胆道结石患者的术中出血量、手术时间、术后肛门排气时间、肠道恢复时间和住院时间等临床指标均优于对照组胆道结石患者的临床指标，P<0.05；实验组胆道结石患者的并发症发生几率为6.25%(3/48)，低于对照组胆道结石患者的并发症发生几率(25.00%)，P<0.05；实验组胆道结石患者临床治疗总有效率为95.83%(46/48)，高于对照组胆道结石患者的临床治疗总有效率(77.08%)，P<0.05。结论：胆道结石患者接受腹腔镜及胆道镜联合应用治疗，可以减少对患者的创伤，有利于患者术后的康复，提高治疗效果，值得推广应用。
【关键词】腹腔镜；胆道镜；胆道结石
[Abstract] Objective：To study the effect of combined use of laparoscopy and choledochoscopy in the treatment of bile duct stones.METHODS： Ninety-six patients with biliary stones who were treated in our hospital between January2016and January2018were selected.The patients were divided into two groups according to the patient’s order of treatment.The patients in the control group received conventional open surgery.Patients in the group underwent laparoscopic and biliary microsurgery combined treatment.The surgical indicators， incidence of complications， and clinical outcomes were compared between the two groups.Results： The clinical indexes such as intraoperative blood loss， operation time， postoperative anus exhaust time， intestinal recovery time and length of hospital stay were better in the experimental group than those in the control group with biliary stones， P<0.05； The incidence of complications in patients with biliary stones was6.25% (3/48)， which was lower than the incidence of complications in patients with biliary stones in the control group (25.00%)， P<0.05； the total effective rate of clinical treatment in patients with biliary stones in the experimental group95.83% (46/48) was higher than the total clinical treatment efficiency (77.08%) in patients with biliary stones in the control group， P<0.05.Conclusion： The combined use of laparoscopic and biliary microsurgery for patients with biliary calculi can reduce the trauma to the patient， benefit the recovery of the patient， and improve the treatment effect.It is worthy of popularization and application.
[Key words] Laparoscopy； Choledochoscopy； Biliary stones
【中图分類号】R657.4 【文献标识码】A 【文章编号】2095-6851(2018)08--01
胆道结石是临床上常见的疾病，此病的产生主要与胆道寄生虫病和胆道感染有关。胆道结石多发于女性人群，这主要是由于女性缺少运动、爱吃零食所导致，当患者病发后，会出现胆绞痛、腹痛、发热、黄疸等临床症状，严重影响患者的身体健康，并降低患者的生活质量[1]。现临床上主要采用手术的方式对患者进行治疗，本文主要研究腹腔镜及胆道镜联合应用治疗胆道结石的效果，现报道如下：
1 一般资料与方法
1.1 一般资料 选取于2016年1月-2018年1月期间，在我院接受治疗的胆道结石患者96例，根据患者的就诊顺序将患者分为2组，每组48例患者。实验组患者中，年龄为25-66岁，平均年龄为(45.26±4.13)岁；病程为2个月-25个月，平均病程为(13.32±1.41)个月；结石直径为0.5-3.7cm之间，平均直径为(2.08±0.53)cm；其中男性患者18例，女性患者30例。对照组患者中，年龄为26-67岁，平均年龄为(46.31±4.22)岁；病程为2个月-26个月，平均病程为(13.78±1.69)个月；结石直径为0.5-3.9cm之间，平均直径为(2.11±0.56)cm；其中男性患者17例，女性患者31例。纳入标准：所有入选患者均符合胆道结石的临床诊断标准；所有患者均经腹部CT、MRI和胆囊超声波检查并确诊。排除标准：排除伴有严重精神疾病的患者；排除伴有心、肝、肾等严重器质性疾病的患者；排除伴有恶性肿瘤的患者；排除妊娠期和哺乳期的女性患者[2]。 (李东元)
【关键词】腹腔镜；胆道镜；胆道结石
[Abstract] Objective：To study the effect of combined use of laparoscopy and choledochoscopy in the treatment of bile duct stones.METHODS： Ninety-six patients with biliary stones who were treated in our hospital between January2016and January2018were selected.The patients were divided into two groups according to the patient’s order of treatment.The patients in the control group received conventional open surgery.Patients in the group underwent laparoscopic and biliary microsurgery combined treatment.The surgical indicators， incidence of complications， and clinical outcomes were compared between the two groups.Results： The clinical indexes such as intraoperative blood loss， operation time， postoperative anus exhaust time， intestinal recovery time and length of hospital stay were better in the experimental group than those in the control group with biliary stones， P<0.05； The incidence of complications in patients with biliary stones was6.25% (3/48)， which was lower than the incidence of complications in patients with biliary stones in the control group (25.00%)， P<0.05； the total effective rate of clinical treatment in patients with biliary stones in the experimental group95.83% (46/48) was higher than the total clinical treatment efficiency (77.08%) in patients with biliary stones in the control group， P<0.05.Conclusion： The combined use of laparoscopic and biliary microsurgery for patients with biliary calculi can reduce the trauma to the patient， benefit the recovery of the patient， and improve the treatment effect.It is worthy of popularization and application.
[Key words] Laparoscopy； Choledochoscopy； Biliary stones
【中图分類号】R657.4 【文献标识码】A 【文章编号】2095-6851(2018)08--01
胆道结石是临床上常见的疾病，此病的产生主要与胆道寄生虫病和胆道感染有关。胆道结石多发于女性人群，这主要是由于女性缺少运动、爱吃零食所导致，当患者病发后，会出现胆绞痛、腹痛、发热、黄疸等临床症状，严重影响患者的身体健康，并降低患者的生活质量[1]。现临床上主要采用手术的方式对患者进行治疗，本文主要研究腹腔镜及胆道镜联合应用治疗胆道结石的效果，现报道如下：
1 一般资料与方法
1.1 一般资料 选取于2016年1月-2018年1月期间，在我院接受治疗的胆道结石患者96例，根据患者的就诊顺序将患者分为2组，每组48例患者。实验组患者中，年龄为25-66岁，平均年龄为(45.26±4.13)岁；病程为2个月-25个月，平均病程为(13.32±1.41)个月；结石直径为0.5-3.7cm之间，平均直径为(2.08±0.53)cm；其中男性患者18例，女性患者30例。对照组患者中，年龄为26-67岁，平均年龄为(46.31±4.22)岁；病程为2个月-26个月，平均病程为(13.78±1.69)个月；结石直径为0.5-3.9cm之间，平均直径为(2.11±0.56)cm；其中男性患者17例，女性患者31例。纳入标准：所有入选患者均符合胆道结石的临床诊断标准；所有患者均经腹部CT、MRI和胆囊超声波检查并确诊。排除标准：排除伴有严重精神疾病的患者；排除伴有心、肝、肾等严重器质性疾病的患者；排除伴有恶性肿瘤的患者；排除妊娠期和哺乳期的女性患者[2]。 (李东元)