目的 分析腹腔镜联合胆道镜治疗胆结石的临床疗效。方法 选取我院2010年5月-2013年5月收治的56例胆结石患者,随机分为治疗组和对照组,每组28例。治疗组腹腔镜联合胆道镜治疗,对照组开腹手术治疗,分析两组治疗效果。结果 两组手术时间无差异,但治疗组的术中出血量、切口感染率、肛门排气时间和住院时间均明显优于对照组(P<0.05)。结论 腹腔镜联合胆道镜治疗胆结石疗效显著,创伤小,术后恢复快,值得临床推广。

Objective To analyze the clinical effect of laparoscopy combined with choledochoscopy in treating cholelithiasis.Methods 56 cases of cholelithiasis patients in our hospital from 2010 May to 2013 May were randomly divided into treatment group and control group,28 cases in each group,the treatment group treated by laparoscopy combined with choledochoscopy,the control group receiving open operation treatment.Curative effects of two groups were observed.Results No significant difference in operation time was observed in two groups,but the amount of intraoperative bleeding,wound infection rate,anal exhaust time and hospital stay were significantly better in treatment group than in the control group (P<0.05).Conclusions Laparoscopy combined with choledochoscopy in treating gallstone has curative effect,small trauma,faster postoperative recovery,and is worth clinical promotion.