腹腔镜联合胆道镜取石术治疗肝内胆管结石的临床疗效_毛.pdf

第20卷第6期中国内镜杂志Vol.20No.6
2014年6月ChinaJournalofEndoscopyJun.2014

文章编号：1007-1989（2014）06-0636-03

腹腔镜联合胆道镜取石术治疗肝内胆管结石的临床疗效

毛伟坤
（浙江省长兴县人民医院普外科，浙江长兴313100）

摘要：目的探讨腹腔镜与胆道镜取石术在肝内胆管结石患者治疗中的联合应用价值。方法选取2011
年3月～2013年3月收治的肝内胆管结石患者98例，将患者随机分为研究组和对照组，每组49例。对照组患
者采用单纯腹腔镜手术治疗，研究组患者采用腹腔镜联合胆道镜取石术治疗。并分别对两组患者的临床治疗情
况、手术指标改善情况、并发症发生情况进行比较和分析。结果与对照组患者相比，研究组患者结石取净的
比率有所提高，高达93.88%，差异无显著性（P>0.05）；研究组患者手术时间明显延长，术中出血量明显减少，术
后排气时间和住院时间均明显缩短，差异有显著性（P<0.05）；研究组患者并发症发生率较对照组患者显著降
低，差异有显著性（P<0.05）。结论腹腔镜联合胆道镜取石术对于提高肝内胆管结石患者的临床疗效具有
积极的临床意义。
关键词：肝内胆管结石；腹腔镜；胆道镜
中图分类号：R657.42文献标识码：B

Clinicalefficacyoflaparoscopiccombinedwith
choledochoscopeinthetreatmentof
intrahepaticbileductstones

MAOWei-kun
(DepartmentofGeneralSurgery,ChangxingPeople'sHospital,Changxing,
Zhejiang313100,P.R.China)

Abstract:【Objective】Tostudytheclinicalapplicationvalueoflaparoscopiccombinedwithcholedochoscope
inthetreatmentofintrahepaticbileductstones.【Methods】FromMarch2012toMarch2012,98patientswithin－
trahepaticbileductstonesinourhospitalweredividedintostudygroupandcontrolgrouprandomly.Therewere49
casesineachgroup.Thepatientsincontrolgroupweretreatedwithlaparoscopicsurgeryonly.Thepatientsinstudy
groupweretreatedwithlaparoscopiccombinedwithcholedochoscope.Thesituationofclinicaltreatment,surgicalin－
dicatorstoimproveandtheoccurrenceofcomplicationsofthepatientsintwogroupswerecomparedandanalyzed.
【Results】Comparedwiththecontrolgroup,theratioofstonescompletelyremovedinstudygroupwasincreased,up
to93.88%,therewerenostatisticallysignificant(P＞0.05).Comparedwiththecontrolgroup,thesurgerytimein
studygroupwasprolonged,bloodlosswasreduced,timeanddurationofhospitalizationafterdischargewereshort－
enedsignificantly(P＜0.05).Comparedwiththecontrolgroup,theincidenceofcomplicationsinstudygroupwasre－
ducedsignificantly(P＜0.05).【Conclusion】Laparoscopiccombinedwithcholedochoscopehaspositiveclinicalsig－
nificanceforimprovingclinicalefficacy,intraoperativeandpostoperativeindicatorsofpatientswithintrahepaticbile
ductstones.
Keywords:intrahepaticbiled