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目的 分析腹腔镜联合胆道镜治疗胆囊结石合并胆总管结石的疗效.方法 将我院收治的胆囊结石合并胆总管结石患者32例作为研究对象,其中开腹胆囊切除联合胆总管取石并T管引流治疗15例(对照组);腹腔镜胆囊切除联合胆道镜胆总管探查并T管引流治疗17例(观察组),观察两组患者治疗方法和术后并发症的发生率.结果 采取不同方式治疗后,对照组术中出血量(180.3±14.2)mL、肛门排气时间(3.2±1.4)天、住院时间(15.2±0.9)天;观察组术中出血量(85.3±11.2)mL、肛门排气时间(1.3±0.9)天、住院时间(8.4±1.1)天,两组间比较差异有统计学意义(P<0.05).结论 在对胆囊结石合并胆总管结石患者进行治疗的过程中,选择使用腹腔镜联合胆道镜具有术中出血量少、患者住院时间短以及恢复快等诸多优点,同时并发症发生率相对较低,在临床中值得推广使用.“,”Objective Analysis of laparoscopic joint choledochoscope for treatment of gallbladder stone with common bile duct calculi.Methods Our hospital of gallbladder stone with a total of 32 patients with common bile duct stones, gallbladder excision of laparotomy jointly take bravery manager stone and T tube drainage treatment of 15 cases (control group); Laparoscopic gallbladder excision joint choledochoscope treatment of 17 cases of common bile duct exploration and T tube drainage (observation group), observe two ways to treatment the incidence of postoperative complications.Results After treated with different ways, bleeding amount of control group (180.3±14.2) mL (3.2±1.4), anal exhaust time d, length of hospital stay (15.2±0.9) d; Bleeding amount of observation group (85.3±11.2) mL (1.3±0.9), anal exhaust time, length of hospital stay (8.4±1.1) d, is signiifcant difference between the two groups (P<0.05).Conclusion In patients with gallbladder stone with common bile duct calculi in the process of treatment, choose to use laparoscopic joint choledochoscope of patients with less intraoperative blood loss, shorter hospitalization time and quicker recovery, and many other advantages, at the same time, complication rates are relatively low, is worth popularization in clinical use.