摘要
目的分析经腹腔镜胆总管探查治疗胆总管结石的方法及经验。方法 80例胆总管结石患者,按照就诊顺序将患者分成对照组及观察组,每组40例。对照组患者施行常规开腹手术取石治疗,观察组患者施行腹腔镜胆总管探查术+取石治疗。观察两组患者手术成功情况,比较两组患者术后不良反应、手术时间、术中出血量、术后通气时间、住院时间以及肝功能指标。结果两组患者手术均顺利完成,成功率均为100.00%。观察组术后不良反应发生率低于对照组,差异具有统计学意义(P<0.05)。观察组手术时间、术后通气时间以及住院时间均短于对照组,术中出血量少于对照组,差异具有统计学意义(P<0.05);术后5 d,两组患者总胆红素(TBIL)、谷草转氨酶(AST)以及谷丙转氨酶(ALT)水平比较差异无统计学意义(P>0.05)。结论经腹腔镜胆总管探查治疗胆总管结石可获得良好的治疗效果。
Objective To analyze the method and experience of laparoscopic common bile duct exploration for choledocholithiasis. Methods A total of 80 choledocholithiasis patients were divided by visiting order into control group and observatior~ group, with 40 cases in each group. The control group was treated with routine laparotomy for lithotomy, and the observation group Was treated with laparoscopic common bile duct exploration ＋ lithotomy. The operation condition in two groups was observed and comparison were made on adverse reactions, operation time, intraoperative bleeding volume, postoperative ventilation time, hospitalization time and liver function indexes between the two groups. Results The operation in two groups all successfully completed, with success rate as 100.00%. The observation group had lower incidence of postoperative adverse reactions than the control group, and the difference had statistical significance （P〈0.05）. The observation group had shorter operation time, postoperative ventilation time and hospitalization time than the control group, and less intraoperative bleeding volume than the control group. Their difference had statistical significance （P〈0.05）. In postoperative 5 d, both groups had no statistically significant difference in total bilirubin （TBIL） and aspartate aminotransferase （AST） and alanine aminotransferase （ALT） levels （P〉0.05）. Conclusion Laparoscopic common bile duct exploration shows excellent treatment effect in the treatment of choledocholithiasis.
出处
《中国实用医药》
2017年第24期22-24,共3页
China Practical Medicine
关键词
腹腔镜
胆总管
结石
Laparoscopic
Common bile duct
Stones
