Clinical effect of laparoscopy combined with choledochoscopy on cholecystolithiasis combined withextrahepatic cholecystolithiasis
腹腔镜联合胆道镜治疗胆囊结石合并肝外胆管结石临床效果

摘要

目的 研究腹腔镜联合胆道镜在治疗同时存在胆囊结石和肝外胆管结石的患者中的临床效果。方法选择在新疆医科大学第一附属医院接受治疗的56名患有胆囊结石并合并肝外胆管结石的患者作为我们的研究对象，时间跨度为2013年1月至2023年12月。通过随机数字表法，将这些患者分成了对照组和观察组，每组各包含28例患者。对于对照组，采用传统开腹手术进行治疗；而对于观察组，则采用腹腔镜联合胆道镜手术进行治疗。旨在比较这两种治疗方法之间的效果差异。结果 观察组在进行联合腹腔镜和胆道镜手术后，其手术指标、血管紧张素水平以及术后并发症的发生率明显优于对照组，两组之间存在显著差异（P＜0.05）。结论 腹腔镜辅助的胆道镜检查已被证实是一种成功的治疗方法，可用于同时处理胆囊结石和肝外胆管结石。该方法能够有效地减少手术过程中出血量、抑制血管紧张素释放，并降低术后并发症的风险。

Abstract

Objective To investigate the clinical effect of laparoscopy combined with choledochoscopy in the treatment of patients with cholecystolithiasis and extrahepatic cholecystolithiasis.
Methods 56 patients with cholecystolithiasis complicated with extrahepatic cholecystolithiasis treated in the First Affiliated Hospital of Xinjiang Medical University were selected as our study subjects, with a time span from January 2013 to December 2023. These patients were divided into control group and observation group by random number table method, with 28 patients in each group. The control group was treated with traditional open surgery. The observation group was treated by laparoscopy combined with choledochoscopy. To compare the difference in effectiveness between the two treatments..
Results After combined laparoscopic and choledochoscopic surgery, the surgical indicators, angiotensin levels and the incidence of postoperative complications in the observation group were significantly better than those in the control group, with significant differences between the two groups (P < 0.05).
Conclusion   Laparoscopic-assisted choledochoscopy has been shown to be a successful treatment for the simultaneous management of gallstones and extrahepatic bile duct stones. This method can effectively reduce the amount of blood loss during operation, inhibit angiotensin release, and reduce the risk of postoperative complications.