摘要
目的:探讨腹腔镜胆道探查术与传统开腹手术治疗胆囊结石合并胆总管结石的临床价值。方法:将76例胆囊结石合并胆总管结石患者分为实验组和对照组各38例,对照组采用传统开腹手术治疗,实验组采用腹腔镜胆道探查术治疗,比较两组患者切口长度、术后通气时间、手术时间、住院时间、住院费用以及并发症发生情况。结果:实验组总有效率高于对照组,差异有统计学意义(P<0.05)。实验组在切口长度、术后通气时间、手术时间以及住院时间等指标均优于对照组,差异均有统计学意义(P<0.05)。两组患者住院费用比较差异无统计学意义(P>0.05)。两组患者并发症发生率比较差异无统计学意义(P>0.05)。结论:腹腔镜胆道探查术可显著提升胆囊结石合并胆总管结石治疗效果,安全性良好。
Objective. To investigate the clinical value of laparoscopic common bile duct exploration and the traditional abdominal patients with gallbladder and op bil eration for gallbladder and bile duct stones. Methods. 76 cases of e duct stones were divided into the experimental group and the con trol group with 38 cases in each group. The control group were treated with traditional open surgery, while the experimental group were treated with laparoscopic common bile duct exploration. The length of incision, postoperative mechanical ventilation time, operation time, hospitalization dura- tion, cost of hospitalization and complications in both groups were compared. Results： The total ef- fective rate of the experimental group was higher than that of the control group, which was of sta tistical difference （P〈0.05）. Such indicators as the incision length, postoperative mechanical ven- tilation time, operation time and hospitalization duration were superior to those of the control group, which were of statistical differences （P〈0.05）. But there were no statistical differences of the cost of hospitalization and the occurrence rate of eompications between both groups （P〉0.05）.Conclusion： Laparoscopic common bile duct exploration is safe and can effictively improve the treatment effect of of gallbladder and bile duct stones.
出处
《华夏医学》
CAS
2015年第2期30-32,共3页
Acta Medicinae Sinica
关键词
开腹手术
腹腔镜胆道探查术
胆囊结石
胆总管结石
abdominal operation
bile duct stone laparoscopic common bile duct exploration
gallstone
common
