摘要
目的探析腹腔镜胆总管探查取石与开腹胆总管探查取石的临床对照。方法方便选取该院在2014年4月—2018年4月期间收治的128例胆囊结石合并胆总管结石患者,将其随机分为研究组和对照组,各64例,对照组以开腹胆总管探查取石,研究组腹腔镜胆总管探查取石,比较两组取石效果,手术时间、术中失血量、肠功能恢复时间、住院时间及下床活动时间等。结果研究组结石取净率98.44%与对照组比较差异无统计学意义(χ~2=0.183,P>0.05);研究组手术时间(60.4±14.6)min、术中失血量(58.3±7.3)mL、肠功能恢复时间(16.2±2.2)h、住院时间(5.0±1.1)d及下床活动时间(3.5±1.1)d与对照组比较差异有统计学意义(t=6.983、10.588、5.783、4.315、4.011,P<0.05)。两组均未发生严重并发症。结论腹腔镜胆总管探查取石效果显著显著优于开腹胆总管探查取石,腹腔镜胆总管探查取石属于微创手术,不仅缩短患者手术时间,减少出血量,还促进患者肠功能恢复,缩短住院时间,值得临床推广。
Objective To study the clinical comparison of calculus removal by the laparoscopic common bile duct exploration and open common bile duct exploration.Methods 128 cases of patients with cholecystolithiasis and choledocholithiasis admitted and treated in our hospital from April 2014 to April 2018 were convenient selected and randomly divided into two groups with 64 cases in each,the control group used the open common bile duct exploration for removing stones,while the research group used the laparoscopic common bile duct exploration for removing stones,and the stone removal effect,operation time,intraoperative blood loss,bowel function recovery time,length of stay and time to get out of bed were compared between the two groups.Results The difference in the stone retrieval rate between the research group and the control group was not statistically significant,which was 98.44%in the research group(χ^2=0.183,P >0.05),and the operation time,intraoperative bleeding amount,recovery time of bowel function,length of stay,and time to get out of bed in the research group were respectively(60.4±14.6)min,(58.3±7.3)mL,(16.2±2.2)h,(5.0±1.1)d and(3.5±1.1)d,and the differences between the two groups were statistically significant(t=6.983,10.588,5.783,4.315,4.011,P<0.05),without serious complications.Conclusion The effect of stone removal of laparoscopic common bile duct exploration is obviously better than that of open common bile duct exploration,and the laparoscopic common bile duct exploration belongs to the minimally invasive surgery,which can not only shorten the operation time and reduce the bleeding amount,but also promote the recovery of bowel function,and shorten the length of stay,and it is worth clinical promotion.
作者
孙鹏飞
徐立群
时坤
穆向明
钱洋洋
SUN Peng-fei;XU Li-qun;SHI Kun;MU Xiang-ming;QIAN Yang-yang(Department of General Surgery,Yancheng First People’s Hospital,Yancheng,Jiangsu Province,224000 China)
出处
《中外医疗》
2018年第36期60-62,共3页
China & Foreign Medical Treatment
关键词
腹腔镜
胆总管探查取石
开腹
临床分析
Laparoscopic
Choledocholithotomy
Laparotomy
Clinical analysis
