摘要
目的：经对复杂肝内外胆管结石患者临床手术适应证的分析，探讨高位胆总管切开取石术对该病的治疗效果。方法回顾性分析我院2012年1月至12月接诊的104例肝内外胆管结石采用胆总管切开取石术的临床疗效。结果经术后随访发现：104例患者中胆漏2例（1．92％），无1例出现结石残留，1例（0．96％）胆道感染，3例（2．88％）胆道出血，并发症总发生率为5．76％。结论采用高位胆总管切开取石术治疗复杂肝内外胆管结石，抓好患者临床适应证，并注意避免患者术中出血多及术后胆道感染等并发症，可有效降低结石残留。
Abstract
Objective To research the clinical application advantage of laparoscopic joint choledochoscope treating intra -and extrahepatic bile duct stone by com-paring the clinical curative effect of the traditional and minimally invasive surgery treating patients with complicated intra -and extrahepatic bile duct stone.Methods 207 patients accepted in our hospital were randomly selected as the principal part of the observed and were grouped according to the differences of operation way .In the con-trol group,103 cases accepted traditional laparotomy ,and 104 cases accepted laparoscopic incision under the joint choledochoscope lithotomy .The curative effects of two groups were compared.Results The hospital time and intraoperative blood loss of patients in observation group were significantly lower than the control group (P<0.05), but the operation time significantly more than the control group(P<0.05);Postoperative complications of two groups were 1.92%,17.48%,and the observation group was significantly lower(P<0.01).Conclusion Laparoscopic joint choledochoscope for complicated intra -and extrahepatic bile duct stone is safer and more effective than traditional laparotomy,and is worth clinical promotion.
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