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目的探讨腹腔镜联合胆道镜对胆总管结石的治疗效果及安全性。方法将286例胆总管结石患者随机分为2组，每组143例。观察组应用腹腔镜与胆道镜联合治疗，对照组患者应用开腹手术治疗。对两组治疗效果进行分析。结果观察组手术时间显著长于对照组（P＜0.05）；观察组术口长度、术中出血量、第1次排气时间、首次下床时间以及住院时间均明显小于对照组（P＜0.05）；观察组并发症发生率为8.39%，显著低于对照组的43.36%（P＜0.05）。结论腹腔镜联合胆道镜治疗胆总管结石具有疗效好、创伤小、并发症少的优点，值得推广。
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更新时间：2015-03-20
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腹腔镜联合胆道镜在治疗胆总管结石中的效果及安全性
Efficacy and safety of laparoscopy combined with choledochoscopy for choledocholithiasis
微创医学 201406期 页码：709-710,735
作者机构：(广东省江门市第二人民医院普外科,江门市529030)
基金信息：（广东省江门市第二人民医院普外科，江门市529030）作者简介：苏东晖（1969～）男，本科，副主任医生，
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- 英文简介
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ObjectiveTo investigate the efficacy and safety of laparoscopy combined with choledochoscopy for choledocholithiasis. Methods286 cases of choledocholithiasis wer e randomly divided into two groups, 143 cases each group. Laparoscopy combined with choledochoscopy was performed in the observation group, and open surgery was performed in control group. ResultsThe operative time of observation group was significantly lo nger than that of control group (P＜0.05). The incision length, blood loss, the postoperative exhaust time, the time to get out of bed and hospital stay of observation group were significantly lower than those of control group (P＜0.05). The complication rate of observation group was 8.39%, significantly lower than that of control group (43.36%) (P＜0.05). ConclusionsLaparoscopy combined with choledochoscopy for choledocholithiasis have the advantages of efficacy, less invasiveness, and few complications, worthy of clinical promotion.
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