陈俊生

[摘要] 目的 研究并探讨腹腔镜联合胆道镜治疗胆结石疾病的临床治疗效果，并分析其应用价值。 方法 随机选取该院2013年10月—2014年9月收治的100例胆结石患者作为研究对象，将所有患者随机分为实验组和对照组，每组患者50例，对照组患者给予传统开腹手术，实验组患者给予腹腔镜联合胆道镜手术。比较实验组患者以及对照组患者的临床效果情况，比较实验组患者以及对照组患者并发症的发生情况。 结果 由统计结果可得，实验组患者的手术时间约在（83.24±2.31）min、术中出血量约为（49.77±2.16）mL、排气时间约为（14.86±1.02）min、住院时间约为（10.11±1.26）d；对照组患者的手术时间约在（123.23±1.86）min、术中出血量约为（98.89±2.16）mL、排气时间约为（29.67±1.24）min、住院时间约为（23.31±2.31）d，实验组患者的临床效果情况显著优于对照组患者，实验组患者的并发症发生数量为1例，对照组患者的并发症发生数量为7例，实验组患者并发症发生数量显著少于对照组患者，组间差异有统计学意义（P<0.05）。 结论 腹腔镜联合胆道镜治疗胆结石临床效果较好，并且安全可靠，值得推广。

[关键词] 腹腔镜；胆道镜；胆结石

[中图分类号] R657.4 [文献标识码] A [文章编号] 1674-0742（2015）09（b）-0066-02

[Abstract] Objective To investigate the clinical effect of laparoscopy combined with biliary endoscopy in the treatment of gallstone disease， and analyze its application value. Methods We selected 100 patients with gallstone admitted to our hospital between October 2013 and September 2014 as the subjects and divided them randomly into experimental group and control group with 50 in each one. The patients in the control group were treated with traditional open surgery， while those in the experimental group underwent laparoscopy combined with biliary endoscopy. The clinical effect and complication were compared between the two groups. Results Statistical results indicated that the clinical efficacy， including operation duration[（83.24±2.31）min vs（123.23±1.86）min]， intraoperative blood loss[（49.77±2.16）mL vs （98.89±2.16）mL]， exhaust time[（14.86±1.02）min vs （29.67±1.24）min]， lengthy of hospital stay[（10.11±1.26）d vs（23.31±2.31）d]， was better in the experimental group than in the control group. The complication （1 case vs 7 cases） was less in the experimental group than in the control group. All the differences above were statistically significant. Conclusion Laparoscopy combined with biliary endoscopy can produce good effect and is worthy of promotion in the treatment of gallstone disease because it is safe and reliable

[Key words] Laparoscopy； Biliary endoscopy； Gallstones

随着人们生活习惯的改变，人们生活节奏的紊乱以及饮食不规律等问题，我国患有胆结石疾病的患者数量逐渐增多。胆结石疾病是临床上一种常见的多发病，该疾病的发病率较高，对患者的生活质量造成了严重的影响[1]。现为研究腹腔镜联合胆道镜治疗胆结石疾病的临床治疗效果，随机选取该院2013年10月—2014年9月收治的100例胆结石患者作为研究对象，现报道如下。

1 资料与方法

1.1 一般资料

随机选取该院收治的100例胆结石患者作为研究对象，将所有患者随机分为实验组和对照组，每组患者50例，对照组患者给予传统开腹手术，实验组患者给予腹腔镜联合胆道镜手术。……