目的 观察腹腔镜联合胆道镜治疗胆囊结石合并胆总管结石的临床疗效。方法 选择2014年4月—2016年8月收治的134例胆囊结石合并胆总管结石,分为观察组、对照组两组,每组各67例,观察组采取腹腔镜联合胆道镜治疗,对照组常规开腹手术。观察两组术后相关指标和并发症。结果 观察组手术时间、术中出血量、首次肛门排气时间及术后住院时间明显低于对照组;并发症发生率也明显低于对照组(10.45%对23.88%,P＜0.05)。结论 腹腔镜结合胆道镜治疗胆囊结石合并胆总管结石手术时间短,术后恢复快,安全性较高,值得临床推广。

Objective To observe the clinical effect of laparoscopy in combination with choledochoscopy in the treatment of cholecystolithiasis and choledocholithiasis.Methods A total of 134 patients with cholecystolithiasis and choledocholithiasis admitted to Yangdong People’s Hospital from April 2014 to August 2016 were selected and divided into observation group (n=67) and control group (n=67) according to the odd or even number of bed.The observation group received laparoscopy in combination with choledochoscopy,while the control group received conventional laparotomy.The postoperative indices and the incidence of complications in the two groups were observed.Results Operation time,intraoperative blood loss,first anal exhaust time,and postoperative hospital stay duration in the observation group were significantly lower than those of the control group; and the incidence rate of complications in the observation group was also significantly lower than that in the control group (10.45% vs. 23.88%,P<0.05).Conclusion Laparoscopy in combination with choledochoscopy in the treatment of cholecystolithiasis and choledocholithiasis features short operation time,quick postoperational recovery,and high safety level,and is worthy of clinical application.