目的：比较腹腔镜胆总管切开纤维胆道镜取石T管引流术（LCHTD）与开腹手术（OCHTD）的临床疗效。方法：对2010年5月至2013年5月胆结石患者资料进行回顾性分析，LCHTD组52例，OCHTD组51例。比较两组手术情况及不良反应发生情况。结果：（1）LCHTD组手术时间、术中出血量、术后排气时间及术后住院时间分别为（97.99±13.87）min、（86.95±11.55）mL、（17.72±2.96）h及（7.78±1.95）d，均显著小于OCHTD组[分别为（115.27±22.32）min、（185.02±17.26）mL、（38.47±3.47）h及（15.02±3.81）d]，差异有统计学意义；（2）OCHTD组不良反应发生率为17.65%，显著高于LCHTD组（9.62%），差异有统计学意义。结论：LCHTD用于治疗胆囊结石合并胆总管结石手术效果好，安全性高。%Objective: To compare laparoscopic common bile duct stone extraction choledochoifberscopy T-tube drainage (LCHTD) and laparotomy (OCHTD) clinical efifcacy.Methods: The selected data of the patients with cystic duct stones from May 2010-May 2013. The OCHTD group was 52 cases, and the LCHTD group was 51 cases. The surgical conditions and the accidences of adverse events were compared.Results: ( 1 ) The operative time, blood loss, postoperative exhaust time and postoperative hospital staying of LCHTD group were (97.99 ± 13.87) min, (86.95 ± 11.55) mL, (17.72 ± 2.96) h and ( 7.78 ± 1.95) d, were signiifcantly less than the OCHTD group [ (115.27 ± 22.32) min, (185.02 ± 17.26) mL, (38.47 ± 3.47) h and (15.02 ± 3.81) d] (P <0,05,P < 0.01 ) ; ( 2 ) The accidence of the adverse reactions of the OCHTD group was 17.65%, which was signiifcantly higher than the LCHTD group (9.62%) (P <0.05).Conclusion: LCHTD used to treat gallstones signiifcant clinical efifcacy, safety, and it should be promoted and applied clinically .
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