摘要【目的】观察腹腔镜与胆道镜联合应用治疗胆总管结石的临床疗效。【方法】120例胆总管结石需行手术治疗患者，随机分为两组，每组60例，试验组采取双镜联合取石，对照组采取开腹手术治疗，对两组的疗效进行对比分析。【结果】试验组手术时间、术中出血量、T管放置时间、术毕肠功能恢复时间、住院时间均优于对照组，且两组相比较差异有显著性（ P ＜0．05）；试验组不良反应出现6例（10．00％），明显低于对照组11例（18．33％），且两组相比较差异有显著性（ P ＜0．05）。【结论】腹腔镜与胆道镜联合应用治疗胆总管结石具有较大优势，预后佳，且不良反应发生率低。
Abstract：[Objective] To observe clinical efficacy of laparoscopy combined with choledochoscopy for the treatment of choledocholithiasis .[Methods]Totally 120 patients with choledocholithiasis scheduled for opera-tion treatment were randomly divided into two groups with 60 patients in each group .The experiment group underwent the calculi removal by laparoscopy combined with choledochoscopy ,while the control group under-went open operation .The curative effect was compared between two groups .[Results] The operation time , bleeding volume ,postoperative T-tube placement time ,the recovery time of postoperative intestinal function and hospitalization time in experiment group were better than those in control group ,and there were significant differences between two groups( P <0 .05) .The adverse reactions occurred in 6 patients of experiment group (10 .00% ) ,which were significantly lower than those of control group (11 patients ,18 .33% )( P <0 .05) .[Conclusion] Laparoscopy combined with choledochoscopy for the treatment of choledocholithiasis has obvious advantages ,good prognosis and low incidence of adverse reaction .
引用本文:
黄荣森%朱明. 腹腔镜与胆道镜联合应用治疗胆总管结石60例疗效观察[J]. 医学临床研究, 2014, 31(3): 460-462.
HUANG Rong-miao%ZHU Ming. Analysis of Clinical Efficacy of Laparoscopy Combined with Choledochoscopy for the Treatment of Choledocholithiasis. 医学临床研究, 2014, 31(3): 460-462.
2014, Vol. 31 
