摘要
目的观察分析腹腔镜联合胆道镜手术治疗胆总管结石的临床疗效。方法随机选取该院2013年9月—2017年9月接收的42例胆总管结石患者为该次实验研究对象,按照是否给予腹腔镜联合胆道镜手术治疗将所有患者分为观察组与对照组,对照组20例患者给予开腹胆囊切除术联合胆总管取石术治疗,观察组22例患者给予腹腔镜联合胆道镜手术治疗,观察两组患者预后效果。结果观察组患者平均手术时间、平均术中出血量、术后肛门排气时间、平均住院时间等一般诊疗情况与对照组相比,差异有统计学意义(t=1.085、1.124、0.032、0.079,P<0.05)。观察组患者术后并发症发生例数为3例,观察组患者并发症发生率明显低于对照组(13.6%vs 35.0%)(χ2=5.312,P<0.05)。结论对于胆总管结石患者给予腹腔镜联合胆道镜手术可有效缩短手术时间,减少患者术中出血量以及并发症发生率具有重要的意义。
Objective This paper tries to observe and analyze the clinical efficacy of combination Choledochoscopy choledocholithiasis laparoscopic surgery. Methods 42 cases of common bile duct stones received in the hospital from September2013 to September 2017 were randomly selected as the experimental subjects. All patients were equally divided into observation group and control group according to whether or not laparoscopic cholecystectomy was performed. In the control group, 20 patients were treated with open cholecystectomy combined with common bile duct stone removal. In the observation group, 22 patients were treated with laparoscopy combined with choledochoscopy. The prognostic effect of the two groups was observed. Results Compared with the control group, the average surgical time, mean intraoperative blood loss,postoperative anal exhaustion time, average length of stay, etc. in the observation group, the difference was statistically significant（t=1.085, 1.124, 0.032, 0.079,P〈0.05）. The number of postoperative complications in the observation group was 3 cases. The incidence of complications in the observation group was significantly lower than that in the control group（13.6%vs 35.0%）（χ^2=.312, P〈0.05）. Conclusion Laparoscopic combined choledochoscope surgery for patients with common bile duct stones can effectively shorten the operation time, reduce the amount of intraoperative blood loss and the incidence of complications, which is of great significance.
作者
李存流
潘晓东
夏杰
LI Cun-liu;PAN Xiao-dong;XIA Jie(Department of Durgery,Deetion One,Shenzhen Weiguang Hospital,Shenzhen,Guangdong Province,518110 China)
出处
《中外医疗》
2018年第21期68-69,72,共3页
China & Foreign Medical Treatment
关键词
腹腔镜
胆道镜手术
胆总管结石
Laparoscopy
Choledochoscopy
Common bile duct stones
