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腹腔镜联合胆道镜治疗胆囊结石并胆总管结石临床观察

Clinical Observation of Laparoscopic Joint Choledochoscope in Treatment of Cholecystolithiasis and Choledocholithiasis
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摘要 目的观察腹腔将联合胆道镜治疗胆囊结石并胆总管结石的临床效果。方法选取我院收治的62例胆囊结石并胆总管结石的患者,随机分成对照与研究两组,各31例。给予对照组患者开腹手术治疗,给予研究组患者腹腔镜切开胆总管联合胆道镜取石术治疗,对两种手术方式的临床效果和术后恢复情况进行对比分析。结果对照组手术时间、术中出血量、住院时间和并发症率均高于研究组,具有统计学差异(P<0.05);对照组患者结石取净率低于研究组,差异具有统计学意义(P<0.05)。结论腹腔镜联合胆道镜治疗胆囊结石并胆总管结石的临床效果良好,对比开腹手术优势明显。 Objective To observe the clinical efficacy of laparoscopic joint choledochoscope in treatment of cholecystolithiasis and choledocholithiasis. Methods62 cases of patients with cholecystolithiasis and choledocholithiasis,who were received by our hospital for treatment,were randomly divided into control and study groups,with 31 cases in each group. Patients of the control group were given laparotomy treatment. Patients of the study group were given laparoscopic joint choledochoscope treatment. Clinical results and postoperative recovery of the two surgical methods were compared. Results For patients in the control group,their operative time,blood loss,hospital stay and complications were significantly higher than that of the study group,which had significant difference(P〈0.05)for patients in the control group. Their stone free rate was significantly lower than that of the study group,and the difference was statistically significant(P〈0.05). Conclusion The effect of laparoscopic joint choledochoscope in treatment of cholecystolithiasis and choledocholithiasis is great. It has obvious advantage compared with the laparotomy treatment.
作者 王缭
出处 《中国卫生标准管理》 2015年第22期53-54,共2页 China Health Standard Management
关键词 腹腔镜联合胆道镜 胆囊结石 胆总管结石 临床疗效 Laparoscopic joint choledochoscope Gallstones Choledocholithiasis Clinical efficacy
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