目的 观察腹腔镜下经胆囊管胆总管探查取石术治疗胆囊结石合并胆总管结石的临床疗效。方法 选取收治的80例胆囊结石合并胆总管结石患者,分为常规开腹手术组（对照组）和腹腔镜下经胆囊管胆总管探查取石术组（观察组）,每组各40例,观察两组的手术治疗效果及手术前后患者生活质量评分与VAS疼痛评分。结果 观察组患者腹腔引流时间、住院时间显著优于对照组（P<0.05）;治疗前两组患者生活质量评分与VAS疼痛评分无差异,治疗后观察组患者生活质量评分与VAS疼痛评分亦显著优于对照组（P<0.05）。结论 腹腔镜下经胆囊管胆总管探查取石术治疗胆囊结石合并胆总管结石能有效提高患者疗效,促进康复,值得推广。

Objective To observe the clinical effect of laparoscopic cholecystectomy in combination with common bile duct exploration and lithotripsy on cholecystolithiasis combined with choledocholithiasis. Methods Eighty patients with cholecystolithiasis complicated with choledocholithiasis in our hospital were divided into a control group （n=40）, who underwent routine laparotomy, and an observation group （n=40）, who underwent laparoscopic common bile duct exploration and lithotripsy. The results of surgical treatment, quality of life scores, and VAS pain scores before and after operation were compared between the groups. Results The abdominal drainage time and hospitalization time in the observation group were shorter than those in the control group （P<0.05）. No differences were found in the quality of life scores and VAS pain scores before treatment between the two groups; but after treatment, the quality of life scores and VAS pain scores in the observation group were also shorter than those in the control group （P<0.05）. Conclusion Cholecystectomy in combination with laparoscopic common bile duct exploration and lithotripsy for cholecystolithotomy combined with choledocholithiasis can effectively improve the curative effect and promote the recovery of patients, which is worth promoting.