期刊文献+

腹腔镜肝部分切除术治疗肝胆管结石的临床研究 被引量:3

Clinical study of laparoscopic hepatectomy on treating hepatic calculus
下载PDF
导出
摘要 目的 探讨临床对肝胆管结石患者实施肝部分切除术治疗的可行性。方法 将2012年5月-2014年5月期间我院48例肝胆管结石患者纳入研究,遵循随机数表法将患者均分成两组,其中对照组采取常规肝部分切除术施治,观察组采取腹腔镜肝部分切除术施治,比较两组的临床总治愈率、手术时长、术中出血量、胃肠功能恢复时间、下床活动时间、胆瘘发生率、并发症发生率等。结果 观察组的总治愈率为91.7%,对照组的总治愈率为83.3%,两组比较差异无统计学意义(P〉0.05);两组的手术时长、术中出血量、胃肠功能恢复时间、下床活动时间、并发症发生率比较,差异有统计学意义(P〈0.05);两组的胆瘘发生率比较差异无统计学意义(P〉0.05)。结论 给予肝胆管结石患者实施腹腔镜肝部分切除术疗效显著,安全性高,相比常规肝部分切除术更具临床普及价值。 Objective To explore the feasibility of laparoscopic hepatectomy in patients with hepatic calculus in clinic.Methods Forty-eight patients with hepatic calculus from May 2012 to May 2014 in our hospital were recruited into the research,and were divided into two groups by a random number table.In control group,conventional partial hepatectomy was used,while in the observation group,laparoscopic hepatectomy was applied.The clinical cure rate,operation time,intraoperative amount of bleeding,recovery time of gastrointestinal function after surgery,time of being off bed,incidence of biliary fistula,and incidence of complications were studied and compared. Results The clinical cure rate in the observation group was 91.7%,and that was 83.3% in the control group,there was no statistically significant difference between two groups(P〈0.05).The comparison of operation time,intraoperative amount of bleeding,recovery time of gastrointestinal function after surgery,time of being off bed,incidence of complications in the observation group had differences between two groups(P〈0.05).The incidence of biliary fistula had no statistically significant difference between two groups(P〈0.05). Conclusion For patients with hepatic calculus,application of laparoscopic hepatectomy can obtain a more remarkable effect and better safety,and presents with a clinical value for universal application in comparison with that by conventional partial hepatectomy.
作者 张智成
出处 《中国当代医药》 2016年第2期24-25,28,共3页 China Modern Medicine
关键词 肝胆管结石 肝部分切除术 可行性 Hepatic calculus Partial hepatectomy Feasibility
  • 相关文献

参考文献11

二级参考文献48

共引文献61

同被引文献36

引证文献3

二级引证文献17

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部