Abstract：Objective To explore applied research of sheath canal of laparoscopy combined with rigid ureteroscopy in the treatment of intrahepatic and extrahepatic bile duct stones.M ethods Altogether 50 cases of patients with intrahepatic and extrahepatic bile duct stones in our hospital from February 2014 to October 2015 were collected as study objects and divided into two groups，and each group was 25 patients according to different surgerymethods.Study group was treated by combined apply of laparoscopy and rigid ureteroscopy，and control group was treated with traditional open surgery.And the clinical effectiveness of two groups was compared.Results According to the statistical results，duration of surgery，length of stay，the amount of intraoperative bleeding，hospitalization expenses，postoperative intestinal function recovery time and T-tube removal time of study group was（104.78±14.36）min，（8.11±2.35）d，（82.02± 14.71）ml，（11±1.2）ten thousand yuan，（2.01±0.36）d and（14.20±5.38）d respectively，less than that of control group with significant difference（P＜0.05）.The stone removal rate（100.00%）and incidence of complications（4.00%）of study group was obviously lower than that of control group respectively （84.00%and 40.00%）with significant difference （P＜0.05）. Conclusion Application of sheath canal of laparoscopy combined with rigid ureteroscopy demonstrates its advantages of high safety，short surgery time and obvious postoperative clinical effectiveness in the treatment of intrahepatic and extrahepatic bile duct stones，which helps to secure the patients′postoperative rehabilitation and is worthy of reference and promotion.
邱斌. 腹腔镜联合输尿管硬镜治疗肝内外胆管结石中鞘管的应用研究[J]. 中国当代医药, 2016, 23(20): 44-46.
QIU Bin. App lied research of sheath canal of laparoscopy combined w ith rigid ureteroscopy in the treatment of intrahepatic and extrahepatic bile duct stones. 中国当代医药, 2016, 23(20): 44-46.
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