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目的 探讨腹腔镜胆管切开探查术联合胆道镜在胆总管结石合并胆囊结石临床治疗中的效果.方法 按照手术方式不同将115例胆总管结石合并胆囊结石患者分为观察组(66例)和对照组(49例),观察组患者接受腹腔镜胆管切开探查术联合胆道镜治疗,对照组患者接受开腹胆总管切开取石术,比较两组手术效果.结果 观察组患者手术时间显著高于对照组,术中出血量显著低于对照组,差异有统计学意义(P0.05).结论 腹腔镜胆管切开探查术联合胆道镜治疗胆总管结石合并胆囊结石创伤小,术后恢复快,并发症少,但操作较为复杂,临床需根据实际情况选择.“,”Objective To investigate the clinical effect of therapeutic pattern of laparoscopic common bile duct exploration combined with intraoperative choledochoscopy on common bile duct stones complicated with cholecystolithiasis.Methods A total of 115 patients with bile duct stones complicated with cholecystolithiasis were divided into observation group(66 cases) and control group(49 cases).The observation group were treated by bile duct exploration combined with intraoperative choledochoscopy.The control group were treated by conventional resections.The clinical effects were observed.Results The operative time in the observation group was higher than that in the control group(P0.05).Conclusion Laparoscopic common bile duct exploration combined with choledochoscope has small trauma, short recovery time, few complication for the patients with bile duct stones complicated with cholecystolithiasis.But the operation is more complicated, and it need choose according to actual situation.