目的：分析对比腹腔镜联合胆道镜实施胆道探查与开腹胆道探查的临床效果。方法：选取我院收治的94例胆道结石患者，将患者随机分为观察组和对照组两个组别，观察组采用腹腔镜联合胆道镜胆道探查取石术治疗，对照组采用开腹胆道探查取石手术治疗，对比观察两组患者的手术治疗效果。结果：观察组患者平均住院治疗与肠道功能恢复时间分别为（7.81±2.14）d和（1.98±1.21）d，患者术后并发症发生率约为13%；对照组患者平均住院治疗与肠道功能恢复时间分别为（11.75±3.98）d和（3.34±10.09）d，患者术后并发症发生率约为33%；两组对比，观察组患者的治疗效果明显好于对照组，差异具有显著性，P<0.05具有统计意义。结论：腹腔镜联合胆道镜胆道探查取石术进行胆道结石患者疾病治疗效果突出，值得临床推广和借鉴应用。%Objective: To analyze and compare the clinical effect between laparoscopic transcystic cholangioscopy bile duct exploration and laparotomic common bile duct exploration. Methods: 94 cases of gallstone patients admitted in our hospital were randomly divided into an observation group and a control group. The observation group patients received laparoscopic transcystic cholangioscopy choledocholithomy and the control group patients received laparotomic common bile duct exploration and choledocholithomy. Surgical treatment effect in the two groups were observed and compared. Results: The average hospitalization time and the intestinal function recovery time in the observation group were (7.81±2.14) and (1.98±1.21) d. Postoperative complication rate in the observation group was about 13%. The average hospitalization time and the intestinal function recovery time in the control group were (11.75±3.98) and (3.34±10.09) d. Postoperative complication rate was about 33 percent. The treatment effect in the observation group was better than that in the control group and the difference was statistically significant, P<0.05. Conclusion: Laparoscopic transcystic cholangioscopy bile duct exploration and choledocholithomy treatment has good effect on patients with gallstones and it is worthy of further clinical promotion.
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