双镜联合与完全腹腔镜保胆取石术治疗胆囊结石的临床效果比较

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Abstract Objective To study the clinical effect of combined and doublemirror and totally laparoscope for gallbladder-protected lithotomy treating gallbladder stone.M ethods from January 2014 to August 2015,200 patients with gallbladder stone to our hospitalwere selected and they were divided into research group(n=100)and control group(n= 100)according to different surgical operation way.Research group was treated by laparoscope combined with choledochoscope while control group was treated by totally laparoscope for gallbladder-protected lithotomy.Operation time, blood loss,intestinal peristalsis recovery time and hospitalization days in two groupswas recorded,and the occurrence of postoperative complication was observed in patients.Results Operation time in research group was obviously shorter than that of control group,and blood losswas significantly less than that of control group,the difference was statistically significant(P＜0.05),but two groups of intestinal peristalsis recovery time and hospitalization days had no statistically significant difference(P＞0.05).After 12months,gallbladder wall thickness in research group was obviously smaller that of control group,while the gallbladder contraction function was obviously better that of control group,and there was a statistical difference(P＜0.05).The incidence of complication was 4％in research group,while it was 8％in control group,and there was a statistical difference(P＜0.05).After followed up for 6-12months,all patients recovered well and no recurrence cases.Conclusion The clinical effect of combined and doublemirror is good,fewer complications,and beneficial to maintain the integrity of the gallbladder and improve the function of the gallbladder.It is worthy of clinical promotion and application.

Key words： Laparoscope Choledochoscope Gallbladder-protected lithotomy Gallbladder stone Comparative study

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	WU Hua-fei
	HE Hai-qing

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WU Hua-fei,HE Hai-qing. Clinical effect com parision of combined and doublem irror and totally laparoscope for gallbladder-protected lithotom y treating gallbladder stone[J]. 中国当代医药, 2016, 23(32): 32-34.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2016/V23/I32/32

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