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腹腔镜胆总管切开取石T管引流术治疗重症急性胆管炎

The Experience of the Tone Extraction of Laparoscopic Common Bile Duct Incision and T-tube Drainage for the Treatment of ACST
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摘要 目的:探究腹腔镜胆总管切开取石T管引流术治疗重症急性胆管炎的临床疗效。方法:随机抽取2011年3月~2012年12月就诊于我院因重症急性胆管炎的患者84例,随机分成实验组行腹腔镜胆总管切开取石T管引流术治疗42例,对照组开腹胆总管切开取石T管引流术治疗42例,将两组患者的治疗效果以及并发症情况进行统计分析。结果:两组患者的治愈率及手术时间无显著性差异(P>0.05);腹腔镜胆总管切开取石T管引流术治疗重症急性胆管炎术后恢复情况及并发症情况明显优于对照组,有统计学意义。结论:对于腹腔镜技术熟练者,腹腔镜胆总管切开取石T管引流术治疗重症急性胆管炎是一种安全有效的治疗方法。 Objective:To discuss the stone extraction of laparoscopic common bile duct incision and t- tube drainage for the treatment of ACST. Methods: From March, 2011 to December 2012, 84 patients in our hospital with severe acute cholecystitis were randomly divided into experimental group and control group. Experimental group (stone extraction of laparoscopic common bile duct incision and t - tube drainage group, n = 42) and control group (stone extraction of abdominal and t - tube drainage group, n = 42). After treatment, the curative effect and complications were compared between the two groups. Results: Two groups ofoperation time no significant differences(P 〉 0.05). The stone extraction of laparoscopic common bile duct incision and t - tube drainage group apparently superior to those of control group in the curative effect and complications. (P 〈 0.05). There was a significant difference in statistics. Conclusion: It is a scientific and effective method to use stone extraction of laparoscopic common bile duct incision and ttube drainage for the treatment of ACST.
作者 谭福勇
出处 《内蒙古医学杂志》 2013年第2期164-166,共3页 Inner Mongolia Medical Journal
关键词 腹腔镜 胆管炎 胆总管 Laparoscope Cholangitls Common bile duct
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