目的：探讨腔镜联合胆道镜治疗胆总管结石的临床价值及优越性。方法将156例胆总管结石患者分为观察组和对照组，各78例，观察组采用腹腔镜联合胆道镜胆总管取石术，对照组采用开腹胆总管取石术，观察两组患者手术及并发症情况。结果观察组术中出血量、术后排气时间、住院时间均低于对照组（P＜0.05）；观察组患者术后并发症发生率低于对照组（P＜0.05）。结论腹腔镜联合胆道镜治疗胆总管结石具有创伤小、恢复快、并发症少等优点，值得临床借鉴采用。%Objective The clinical value and advantages of peritoneoscope and choledochoscope in treating common bile duct calculus are discussed. Methods The 156 patients suffering calculusins in the common bile duct are divided into the observation and control groups, each with 78 cases. The observation group is treated using peritoneoscope together with choledochoscope. But for the control group, their calculusins are removed through laparotomy. Surgeries and complications in both groups are observed. Results It is discovered that the observation group is less than the other in terms of the amount of bleeding during the surgery, exhaust time, hospitalization period, and the incidence of complications(P<0.05). Conclusions It is concluded that treating common bile duct calculus using peritoneoscope along with choledochoscope causes slight traumas, achieves fast recoveries and is followed by fewer complications, thus qualifying itself as a choice for clinical use.
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