腹腔镜联合胆道镜胆总管探查120例分析

摘要

Objective To investigate the common bile duct exploration by laparoscopy combined with choledochoscopy in ef ect, for clinical reference. Methods In our hospital from 2010 September to 2013 August were common bile duct stones in 120 patients included in the study, were treated by laparoscopy combined with choledochoscopy for bile duct exploration. Observe the amount of bleeding and stone rate operation time, intraoperative, and comparison of the changes of two groups of patients before and after operation pain degree. Results Al patients of 118 cases of successful implementation of laparoscope combined with choledochoscope in common bile duct exploration, 2 cases were converted to open operation. The average operation time was (96.73 ± 12.58) min, the amount of bleeding (38.54 ± 4.37) ml, residual stones after operation in 5 cases. And compared with those before the treatment, we found that after treatment, VAS score decreased obviously, dif erence after statistics analysis that have significance (P< 0.05). Conclusion The use of laparoscopy combined with choledochoscopy for bile duct exploration can ef ectively remove the calculus of common bile duct stones, al eviate the pain caused by, had the advantages of minimal invasion, the future can be applied as ef ective scheme of common bile duct treated.%目的：探讨采用腹腔镜联合胆道镜进行胆总管探查的效果，以供临床参考。方法将我院2010年9月~2013年8月收治的胆总管结石患者120例纳入本研究，均接受腹腔镜联合胆道镜进行胆总管探查。观察手术时间、术中出血量和残石率，并对比两组患者探查术前后疼痛程度的变化。结果所有患者中118例成功实施了腹腔镜联合胆道镜胆总管探查术，2例术中转开腹手术。平均手术时间（96.73±12.58）min，术中出血量（38.54±4.37）ml，术后发生残余结石5例。与治疗前对比，我们发现治疗后VAS评分明显降低，差异经统计学分析后认为有意义（P＜0.05）。结论采用腹腔镜联合胆道镜进行胆总管探查可有效取净结石，缓解胆总管结石所致的疼痛，具有微创优势，今后可将其作为胆总管治疗的有效方案进行推广应用。