摘要
目的:探讨逆行胰胆管造影取石联合腹腔镜胆囊切除术治疗胆总管结石的临床效果。方法:150例胆总管结石患者,随机分为两组,对照组(67例)和治疗组(83例)。对照组采用传统开腹胆囊管探查术治疗,治疗组采用逆行胰胆管造影取石联合腹腔镜胆囊切除术治疗,比较两组患者治疗效果、血清学指标变化情况及术后并发症发生情况。结果:治疗组患者术后血清学各项指标改善情况均明显优于对照组(P<0.05);治疗组患者切口大小、术中出血量、手术时间、术后排气时间及住院时间均明显优于对照组(P<0.05);并且治疗组患者出现残余结石、胆管炎、胆漏及急性胰腺炎等并发症的发生率明显低于对照组(P<0.05)。结论:相比于传统开腹胆囊管探查术,逆行胰胆管造影取石术联合腹腔镜胆囊切除术治疗胆总管结石的临床效果更为显著,能够有效缩短疗程,创伤小,术后并发症少,值得推广应用。
Objective:To evaluate the clinical effect of retrograde cholangiopancreatography(CGCP)combined with laparoscopic cholecystectomy in the treatment of common bile duct stones.Methods:The clinical data of 150 patients with choledocholithiasis admitted were retrospectively analyzed.According to the different treatment methods,they were divided into control group(67 cases)and treatment group(83 cases)The patients underwent open cholecystectomy.The patients in the treatment group were treated with retrograde cholangiopancreatography and laparoscopic cholecystectomy.The therapeutic effects,serological changes and postoperative complications were compared between the two groups.Results:The improvement of serological parameters in the treatment group was significantly better than that in the control group(P<0.05).The incision size,intraoperative blood loss,operation time,postoperative exhaust time and hospital stay in the treatment group were significantly higher than those in the control group(P<0.05).The incidences of residual stones,cholangitis,bile leakage and acute pancreatitis in the treatment group were significantly lower than those in the control group(P<0.05).The difference was statistically significant.Conclusion:Compared with the traditional open cystic duct exploration,retrograde cholangiopancreatography combined with laparoscopic cholecystectomy for the treatment of common bile duct stones clinical effect is more significant,can effectively shorten the course of treatment,less trauma,less postoperative complications,worth promoting application.
作者
李锋
张永锋
申琳
Li Feng;Zhang Yongfeng;Shen Lin(People’s Hospital of Tongchuan City,Surgical Department(Tongchuan 727000))
出处
《陕西医学杂志》
CAS
2018年第8期971-973,共3页
Shaanxi Medical Journal
