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《Doctor》 2016-01
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Clinical Analysis of Laparoscopic Combined Bile Duct Endoscopy in the Treatment of Common Bile Duct Stones

Li Yanxin;Tianjin Dagang Hospital;  
Objective to analyze the clinical effect of laparoscopy combined with bile duct stones in the treatment of common bile duct stones,and to compare the clinical efficacy and safety of traditional open surgery. Methods 102 cases of patients with choledocholithiasis admitted in our hospital between August 2014 and March 2016 were selected as the research object,and were random Ly divided into observation group(laparoscopic treatment) and control group(conventional open surgery) with 51 cases for each group.The thesis observed the treatment effect,postoperative complications and operation indexes of the patients of these two groups.Results The indexes of the patients in the observation group in postoperative process were significantly better than that of the control group:the amount of bleeding during operation [(24.48 + 10.53) mL (105.41 + 36.72) mL], anal exhaust time [(23.91 + 5.29) H (55.73 + 13.28) h], hospitalization time [(5.26. 2.41) d (9.96 + 3.52) d] and VAS pain score [(2.45 + 1.24)% (4.17 + 2.32)%],and the difference was significant(P 0.05). The treatment efficiency of the observation group was(100% 92.2%), much higher than that of the control group.The postoperative pain(21.5% 70.6%), wound infection(0 11.8) and other complication rates were lower than that of the control group with significant differences(P 0.05). The biliary fistula rate(2.0%vs.5.9%) and residual stone rate(3.9%vs.2.0%) of the two groups were not statistically significant(P 0.05). Conclusion In treatment of bile duct stones,laparoscopy combining with choledochoscopy proves good clinical curative effect,with small e surgical trauma,low rate of complications and the patients recovered well after the operation.The method should be promoted in clinical application.
【CateGory Index】: R657.42
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