摘要
目的:研究腹腔镜与开腹左半肝切除术治疗肝胆管结石的疗效及预后。方法:选择2014年1月—2015年12月收治的肝胆管结石患者114例,经医院医学伦理委员会核查批准后,随机分为两组,每组57例。观察组采用腹腔镜取石法,对照组则实施开腹左半肝切除术,观察并对比两组患者的疗效及预后。结果:观察组患者术中出血量、手术时间、住院时间以及下床时间均显著少于对照组,差异有统计学意义(P<0.05);治疗后观察组肠功能恢复时间以及VAS评分均显著低于对照组,差异有统计学意义(P<0.05);两组结石清除率及复发率比较,差异无统计学意义(P>0.05);两组患者术前术后各项生化指标比较,差异无统计学意义(P>0.05)。结论:腹腔镜取石治疗肝胆管结石疗效好,避免了开腹手术对患者造成的不必要创伤,术后恢复快,预后好。
Objective：To explore the curative effect and prognosis of laparoscopic and open left hepatectomy in patients with hepatic duct stones. Methods：In hospital from January 2014 to December 2015,114 cases of patients with bile duct stones were selected as the research object. After verification and approval by the medical ethics committee in hospital,the patients were randomly divided into two groups,57 cases in each group. In the observation group was treated by the laparoscopic meth-od,while the control group was treated with open left hepatectomy. The curative effect and prognosis of the two groups were ob-served. Results：Patients in the two groups were compared the operation indexes,the results of the observation,the blood loss in group of patients,operative time,hospitalization time and bed time were significantly less than that of the control group,the difference was significant statistical value（P 〈 0. 05）. After treatment,the observation group of the intestinal function recovery time and the Visual Analogue Scale（VAS）score was significantly lower than those of the control group,the difference was ob-vious statistical value（P 〈 0. 05）. There was no significient difference in calculi clearance rate and recurrence rate of two groups（P 〉 0. 05）. Compared two groups of patients with various biochemical indexes,before operation after operation there was no significant difference（P 〉 0. 05）. Conclusion：Laparoscopic stone removal for patients with intrahepatic bile duct stone has a very significant effect,to avoid open surgery on patients with unnecessary trauma,postoperative recovery fast,good prog-nosis.
出处
《临床医药实践》
2016年第9期654-657,共4页
Proceeding of Clinical Medicine
关键词
腹腔镜
开腹
肝切除术
预后
laparoscopy
laparotomy
liver resection
prognosis
