摘要
目的比较治疗继发性胆总管结石的两种开腹胆道探查手术方式（术中胆道镜经胆囊颈管胆总管探查术与传统胆道切开探查T管引流术）的临床效果。方法符合入组标准病例113例，传统术式58例，经胆囊颈管胆道探查55例。对手术成功率、手术时间、术后并发症、住院时间、住院费用等指标行对照研究。结果两组均成功完成手术且无严重术后并发症，手术时间经胆囊管胆道探查术组与传统手术组无显著差异，平均住院时间及住院费用经胆囊管胆道探查组显著低于传统手术组。结论对于继发性胆总管结石，经胆囊颈管途径胆道探查较传统方式有较明显优势，应作为胆道探查的首选途径。
Objective To compare the clinical efficiency of two methods in the open surgery treatment of secondary common bile duct stones ： transcytic common bile duct exploration with choledochoscope （ TCBDE）, or traditional choledochotomy with T-tube drainage. Methods Retrospectively analysis the treatment of 113 cases with secondary bile duct stones （TCBDE group 58 cases , T-tube group 45 cases） ; Compare the achievement ratio, operating time; complications, average hospital stay and cost between two groups. Results All procedure is successful, without any severe complications. There are no significant differences of operating time. The TCBDE group has significantly shorter hospital stay and lower cost. Conclusion TCBDE has significant advantages than the traditional choledochotomy, and should be the predominant method in the open surgery of secondary common bile duct stones.
出处
《国际外科学杂志》
2009年第1期40-42,共3页
International Journal of Surgery
关键词
经胆囊管
胆道探查术
继发性胆总管结石
胆道镜
transcystic
common bile duct exploration
secondary common bile duct stones
choledochoscope
