摘要
目的 分析老年胆总管结石患者应用经腹腔镜胆总管切开探查并取石术(Laparoscopic Common Bile Duct Ex-ploration,LCBDE)并一期缝合与并T形管引流治疗取得的疗效。方法 采用目的抽样法选取2020年2月—2023年12月安徽省池州市人民医院78例老年胆总管结石患者为研究对象(均行LCBDE术治疗),按照治疗方法不同分为两组,每组39例,分别提供一期缝合治疗(观察组)和T形管引流治疗(对照组),比较两组手术时间、引流时间、住院时间、出血量、并发症发生率。结果 两组引流时间比较,差异无统计学意义(P>0.05)。观察组手术时间、住院时间短于对照组,出血量少于对照组,差异有统计学意义(P均<0.05)。观察组水电解质紊乱率(2.56%)、胆道出血率为(0)、残余结石率(2.56%)、胆道感染率为(0)低于对照组,差异有统计学意义(χ^(2)=3.924、5.343、3.924、5.343,P均<0.05)。结论 老年胆总管结石应用LCBDE术并一期缝合的效果更佳,相比于T形管引流治疗,可以更好地改善患者预后,应用价值高。
Objective To analyze the therapeutic efficacy achieved by the application of transperitoneal laparoscopic common bile duct ex-ploration (LCBDE) with one-stage suture with T-tube drainage in elderly patients with common bile duct stones.Methods Seventy-eight elderly patients with common bile duct stones (all of whom were treated with LCBDE) were selected as the research object from February 2020 to December 2023 in Chizhou People's Hospital by a purposive sampling method,and were divided into two groups according to different treatment,with 39 cases in each group,and provided with one-stage suture treatment (observation group) and T-tube drainage treatment (control group),respectively.The operation time,drainage time,hospitalization time,bleeding amount,and complication rate were examined in the two groups.Results Comparing the drainage time of the two groups,the difference was not statistically significant (P>0.05).The operation time and hospitalization time of the observation group were shorter than that of the control group,and the amount of bleeding was less than that of the control group,and the differences were statistically significant (all P<0.05).The rate of water-electrolyte disorders (2.56%),biliary bleeding rate (0),residual stone rate (2.56%),and biliary infection rate (0) in the observation group was lower than that in the control group,and the differences were statistically significant (χ^(2)=3.924,5.343,3.924,5.343,all P<0.05).Conclusion The application of LCBDE with one-stage suture for common bile duct stones in the elderly is more effective and can better improve the prognosis of patients compared with T-tube drainage treatment,and the application value is high.
作者
杨国平
詹志林
刘刚
吴迪
孔胜兵
YANG Guoping;ZHAN Zhilin;LIU Gang;WU Di;KONG Shengbing(Department of Hepatobiliary and Pancreatic Surgery,Chizhou People's Hospital,Chizhou 247100,Anhui,China)
出处
《系统医学》
2024年第12期122-125,共4页
Systems Medicine
