摘要
目的:比较、评价腹腔镜胆囊切除、胆总管探查取石、"T"管引流术和腹腔镜胆囊切除、胆总管探查取石、内引流并一期缝合术的治疗效果和效益。方法:采取临床随机对照实验,比较79例"T"管引流和62例内置管引流患者的治疗成功率、胆红素恢复正常时间、住院时间、休养时间、治疗费用、并发症发生率等。结果:两组治疗效果差异无统计学意义,内置管引流组在达到传统"T"管引流组疗效的同时,住院时间、休养时间及治疗费用等方面均显著优于后者。结论:腹腔镜胆囊切除、胆总管探查取石、内引流并一期缝合术疗效满意,值得推广应用。
Objective：To compare and evaluate the therapeutic effect and benefit of the laparoscopic cholecystectomy,common bile duct exploration,T-tube drainage and the laparoscopic cholecystectomy,common bile duct exploration,internal drainage and primary suture.Methods：A clinical randomized controlled trial was designed to measure and analyze 79 cases with T-tube drainage and 62 cases with internal drainage about the treatment success rates,bilirubin recovery time,hospital stay,recuperation time,treatment costs and incidence of complications.Results：There was no significant difference between the two groups in the therapeutic effect,meaning that internal drainage group could achieve the same therapeutic effect as the traditional T-tube drainage group,while the hospital stay,recuperation time and treatment cost of internal drainage group were significantly less than the T-tube drainage group.Conclusions：With satisfactory therapeutic effect,laparoscopic cholecystectomy,common bile duct exploration,internal drainage and primary suture deserves to be recommended in the clinical application.
出处
《腹腔镜外科杂志》
2010年第5期379-381,共3页
Journal of Laparoscopic Surgery
关键词
胆囊结石病
胆总管结石
腹腔镜检查
一期缝合
对比研究
Cholecystolithiasis
Choledocholithiasis
Laparoscopy
Primary suture
Comparative study
