摘要
目的:探讨腹腔镜与开腹肝规则切除术治疗肝内胆管结石的临床效果及预后。方法:回顾性分析2017年4月-2019年7月就诊于本院的82例肝内胆管结石患者临床资料,按治疗方式不同分为A组(44例)与B组(38例)。A组行腹腔镜肝规则切除术,B组行开腹肝规则切除术。对比两组手术相关指标、手术效果、并发症发生率。结果:A组术中失血量少于B组,手术时间长于B组,术后住院时间、恢复饮食时间、镇痛时间、下床活动时间优于B组,差异有统计学意义(P<0.05);两组手术优良率、并发症总发生率相比,差异无统计学意义(P>0.05)。结论:腹腔镜肝规则切除术治疗肝内胆管结石与开腹肝规则切除术治疗安全性相当,但前者可有效减少术中失血量,减轻术后疼痛程度,缩短术后恢复时间,值得临床推广。
Objective:To investigate the clinical efficacy and prognosis of intrahepatic bile duct stones treated by laparoscopy and open liver regular resection.Method:The clinical data of 82 patients with intrahepatic bile duct stones treated in our hospital from April 2017 to July 2019 were retrospectively analyzed.They were divided into the group A(44 cases)and the group B(38 cases)according to different treatment methods.The group A underwent laparoscopic liver regular resection and the group B underwent open liver regular resection.The two groups were compared for surgical indicators,surgical effects,and incidence of complications.Result:The blood loss in the group A was less than that in the group B,and the operation time was longer than that in the group B.The postoperative hospitalization time,diet recovery time,analgesic time,and time to get out of bed in the group A were better than those in the group B,and the differences were statistically significant(P<0.05).There was no statistically significant difference between the two groups in the rate of excellent surgery and the total incidence of complications(P>0.05).Conclusion:Laparoscopic regular liver regular resection for intrahepatic bile duct stones is comparable to open liver regular resection,but the former can effectively reduce blood loss during surgery,reduce postoperative pain,and shorten recovery time.It is worthy of clinical promotion.
作者
刘泉源
LIU Quanyuan(Zhangzhou Affiliated Hospital of Fujian Medical University,Zhangzhou 363000,China)
出处
《中外医学研究》
2020年第29期149-151,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
肝内胆管结石
肝规则切除术
腹腔镜
预后
Intrahepatic bile duct stones
Liver regular resection
Laparoscopy
Prognosis
