Objective To discuss the effect of laparoscopy combined with choledochoscopy in the treatment of biliary calculi. Methods 152 patients with biliary calculi admitted in our hospital during January 2014 and December 2015 were randomly divided into observation group (n=76) and control group (n=76). The patients in the control group were treated with conventional open surgery, while those in the observation group underwent laparoscopy combined with choledochoscopy. The operation duration, recovery time of gastrointestinal function, duration of catheter drainage and complications were compared between the two groups. Results The operation duration, recovery time of gastrointestinal function, duration of catheter drainage were (68.2±2.6)h, (24.6±8.7)h, (14.9±2.3)h respectively, shorter than those in the control group;in addition, the complication rates of the two groups were 2.63%and 15.79%, and the difference was statistically significant(χ2=7.539, P<0.05). Conclusion For patients with biliary calculi, minimally invasive treatment by laparoscopy combined with choledochoscopy has the advantages of less trauma, quick recovery and less complications and can improve their quality of life, therefore it is worthy of clinical promotion.%目的：探讨和研究腹腔镜与胆道镜联合治疗胆道结石的主要方法和效果。方法整群选择该院自2014年1月—2015年2月所收治的胆道结石患者共152例,按照随机原则分为观察组和对照组各为76例,对照组患者采用常规的开腹手术进行治疗,而对于观察组患者,则采用腹腔镜与胆道镜联合进行治疗,然后将两组患者的手术持续时间、胃肠道恢复时间和引流管置入时间以及相关并发症的发生状况进行对比。结果观察组患者的手术时间、胃肠道恢复时间和引流管置入时间分别为(68.2±2.6)h、(24.6±8.7)h和(14.9±2.3)h,均短于对照组；此外,观察组与对照组并发症发生率分别为2.63%、15.79%,该两组患者的并发症发生率对比,差异有统计学意义(χ2=7.539, P<0.05)。结论对于胆道结石患者,运用腹腔镜与胆道镜联合微创治疗,有着手术创伤小,术后恢复时间快且并发症少的特点,有助于提升患者的生活质量,值得临床推广。
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