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纤维胆道镜配合腹腔镜胆总管切开取石术研究

Study on Laparoscopic Common Bile Duct Incision and Stone Removal With Fiber Bile Duct Endoscope
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摘要 目的研究分析纤维胆道镜配合腹腔镜胆总管切开取石术的临床疗效。方法对医院在2014年5月~2015年3月收治的20例胆总管结石患者,随机分组为研究组和对照组,各10例。其中对照组使用常规开腹手术治疗;研究组患者,应用纤维胆道镜配合腹腔镜胆总管切开取石术治疗。结果研究组胆总管结石患者临床经纤维胆道镜配合腹腔镜胆总管切开取石术治疗后,临床疗效较高治疗有效率达到90.0%;对照组治疗有效率达到70.0%,两组对比有统计差异(P〈0.05);同时,对比分析两组患者在手术时间、术中出血量、术后并发症发生率方面,研究组与对照组对比,差异有统计学意义(P〈0.05)。结论在临床治疗胆总管结石患者中,采取纤维胆道镜配合腹腔镜胆总管切开取石术治疗,改善患者临床治疗疗效,发挥积极影响。 Objective To study the clinical curative effect of the combination of the fiber bile duct mirror and laparoscopic common bile duct stone. Methods 20 cases of common bile duct stones were treated in our hospital from May 2014 to March 2015. The patients were randomly divided into study group and control group, 10 cases in each group. Patients in the control group were treated with conventional open surgery, and the patients in the study group were treated with the application of fiber bile duct endoscopy combined with laparoscopic common bile duct stones. Results The study group of patients with common bile duct stones were treated with the combination of fiber and bile duct endoscopy after laparoscopic common bile duct stones, the effective rate of treatment was 90% and the effective rate was 70% in the control group, there were statistically significant differences between the two groups(P〈0.05). At the same time, the two groups of patients in the operation time, intraoperative blood loss, postoperative complication incidence rate, the difference between the study group and the control group was statistically significant(P〈0.05). Conclusion In the clinical treatment of patients with common bile duct stones, the use of fiber bile duct mirror with laparoscopic common bile duct stone surgery to improve the treatment of patients with clinical efficacy, to play a positive impact.
作者 张海东 李磊
出处 《中国继续医学教育》 2016年第27期56-58,共3页 China Continuing Medical Education
关键词 纤维胆道镜 腹腔镜 胆总管切开取石术 胆总管结石 疗效 Fiber bile duct endoscopy Laparoscopy Common bile duct stones surgery Common bile duct stones Curative effect
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