To compare the clinical efficacy and safety of two endoscopy in the treatment of choledocholithiasis.

A prospective controlled study of 90 patients with choledocholithiasis from March 2015 to May 2017 was conducted. The patients were divided into A group and group B, 45 cases in each group. Patients in A group received endoscopic sphincterotomy (EST) combined with laparoscopic cholecystotomy (LC), while patients in B group received percutaneous balloon dilatation of the cholecystocal papillary muscle and stone drainage treatment. The operation and recovery time, and clinical prognosis and laboratory indexes of the two groups were compared, and the efficacy and safety of two operative methods were also analyzed. Statistical analysis were performed by using SPSS 22. 0 software. The postoperative index and laboratory index were expressed as (±s) and the independent t test was used. The clinical prognosis and postoperative complications were examined by Chi-square test. A P value <0.05 was considered as statistically significant difference.

The incidence of short-term acute pancreatitis and long-term stone recurrence rate in group B were lower than those in group A (P<0.05). The CA19-9, total bilirubin, direct bilirubin, ALT and AST were lower in the two groups after 1 weeks and 1 months after operation. The above indexes in group B were lower than those in the A group at 1 weeks after operation (P<0.05).

The clinical outcome of two endoscopy in the treatment of choledocholithiasis is quite effective. The safety of percutaneous balloon dilatation of the cholecystoduodenal papillary muscle and stone drainage treatment is more ideal, which is worthy of clinical recommendation.