韩涛 阿吉德 田青山

[摘要] 目的 探讨腹腔镜联合胆道镜保胆手术中治疗胆囊息肉合并胆囊结石中的效果。 方法 整群选取该院2012年1月—2013年12月接受治疗的胆囊息肉合并胆囊结石110例，按手术方案的不同分为实验组和对照组各55例，实验组采取腹腔镜联合胆道镜保胆手术，对照组采取传统的开腹手术。结果 实验组首次下床活动时间（1.3±0.9）d，对照组为（3.9±1.2）d，实验组术后住院时间（5.6±1.4）d，对照组（8.6±1.5）d。实验组在术后平均首次下床活动时间、术后平均住院时间上都要短于对照组，差异有统计学意义（P<0.05）。并发症发生率以及复发率低于对照组（P<0.05）。 结论 腹腔镜联合胆道镜的保胆术对于治疗胆囊息肉合并胆囊结石临床效果显著，且能够降低术后并发症的发生。

[关键词] 腹腔镜；胆道镜，胆囊息肉；胆结石；保胆术；效果

[中图分类号] R657.4 [文献标识码] A [文章编号] 1674-0742（2015）08（c）-0075-02

Effect of Gallbladder Preservation Surgery Under Laparoscope Combined with Choledochoscope in Treating Gallbladder Polyps Complicated with Gallstone

HAN Tao， Ajide， TIAN Qing-shan

Department of General Surgery， Qinghai Peoples Hospital， Xining， Qinghai Province， 810000 China

[Abstract] Objective To observe the effect of gallbladder preservation surgery under laparoscope combined with choledochoscope in treating gallbladder polyps complicated with gallstone. Methods 110 patients with gallbladder polyps complicated with gallstone treated in our hospital between January 2012 and December 2013 were divided into experimental group and control group according to operative methods with 55 in each one. Gallbladder preservation surgery under laparoscope combined with choledochoscope was performed in the experimental group， while traditional open operation in the control group. Results The out-of-bed activity was earlier in the experimental group and the even hospitalization time shorter in the experimental group than in the control group with statistically significant differences， respectively （1.3±0.9）d vs （3.9±1.2）d and （5.6±1.4）d vs （8.6±1.5）d， P<0.05. In addition， the complication rate and recurrent rate were both lower in the experimental group than in the control group， P<0.05. Conclusion Gallbladder preservation surgery under laparoscope combined with choledochoscope in treating gallbladder polyps complicated with gallstone has remarkable effect and lower complication and recurrent rate.

[Key words] Laparoscope； Choledochoscope； Gallbladder polyps； Gallstones； Gallbladder preservation surgery； Efficacy

胆囊息肉和胆囊结石是再临床上比较常见外科疾病，随着影像学技术（B超和CT技术）的不断成熟，这两种疾病的检出率也相对应的得到了提高，使得患者能够在早期得到治疗，但是传统的治疗方案往往以胆囊切除术（LC）的外科治疗为主，由于开腹手术创口大，伤口愈合难，对患者身体损伤大，且患者在术往往出现胆道功能障碍，比如消化不良，胃食管返流、胃炎等并发症，给患者造成很大的痛苦[1]。而有研究表明，胆囊不仅有储存和排泄胆汁的功能，还有分泌胆汁和调节免疫的作用，对人体有着重要作用[2]。现针对该院该院2012年1月—2013年12月年接受治疗的胆囊息肉合并胆囊结石的110患者的临床研究，对腹腔镜联合胆道镜的保胆手术以及传统胆囊切除术的临床效果进行对比分析，现报道如下。

1 资……