胆囊结石合并肝外胆管结石手术45例临床效果分析

摘要

Objective To explore the gal bladder stone with the clinical effect of extrahepatic bile duct calculi surgery. Methods Selection in our hospital for treatment of gal bladder stone with extrahepatic bile duct stones in 45 patients as the research object,it is divided into two groups at random,23 cases of observation group and control group 22 cases,Observation Group were treated by Endoscopic retrograde cholangiopancreatography+Laparoscopic cholecystectomy+ Endoscopic sphincterotomy,the control group given the abdomen gal bladder excision + cut take bravery manager stone + T tube drainage,comparing two groups of patients with the clinical effect of the indicators,and postoperative complications. Results The observation group was better than control group,the indicators and P< 0.05,with statistical significance. For significant difference compared the two groups(χ 2 = 8.0124, P<0.05),with statistical significance. Conclusion In patients with gal bladder stone with extrahepatic bile duct stones with ercp + laparoscopic cholecystectomy,endoscopic sphincterotomy has significant clinical effect,is worth popularizing in clinic widely.%目的：探讨胆囊结石合并肝外胆管结石手术的临床效果。方法选取于我院接受治疗的胆囊结石合并肝外胆管结石45例患者为研究对象，将其随机分为两组，观察组23例、对照组22例，观察组给予内镜逆行胰胆管造影+腹腔镜胆囊切除术+内镜下括约肌切开术，对照组给予腹胆囊切除+胆总管切开取石+T 管引流术，比较两组患者各项指标各临床效果以及术后并发症。结果观察组各项指标明显优于的对照组，且 P 均<0.05，具有统计学意义。两组对比差异为显著性（χ2=8.0124，P<0.05），具有统计学意义。结论对胆囊结石合并肝外胆管结石患者进行内镜逆行胰胆管造影+腹腔镜胆囊切除术+内镜下括约肌切开术具有显著的临床效果，值得在临床上广泛推广。