摘要
目的探讨肝胆管结石应用胆道镜复合腹腔镜治疗的临床效果。方法选择来本院治疗的肝胆管结石患者80例,将其随机分为观察组与对照组,每组40例,观察组患者接受胆道镜复合腹腔镜治疗,对照组患者接受开腹式手术治疗,观察两组手术时间、术中失血量、术后肛门排气时间、术后疼痛率及并发症、住院时间等。结果观察组平均手术时间明显较对照组长,但术中失血量、术后疼痛率与肛门排气时间、术后住院天数以及切口感染率均明显较对照组低,两组比较差异有统计学意义(P<0.05);两组术后结石残余率和胆瘘发生率差异无统计学意义(P>0.05);但观察组在术后肝功能恢复方面优于对照组,两组比较差异有统计学意义(P<0.05)。结论肝胆管结石应用胆道镜复合腹腔镜治疗不但创伤面较小,安全可靠,且术后恢复速度快,值得临床推广使用。
Objective To analyze and explore the clinical effect of choledochoscope with laparoscope in the treatment of hepatolithiasis. Methods Eighty patients suffering from hepatolithiasis treated in our hospital were selected and di- vided into observation group and control group. In the observation group, patients were treated by choledochoscope with laparoscope, while in the control group, patients were treated with laparotomy. The indexes including average op- eration time, intraoperative bleeding volume, time of anal gas exhaust after surgery, incidence of postoperative pain and complications, and hospital stays in both groups were observed. Results The average operation time in observation group was obviously longer than that in control group, hut other indexes like intraoperative bleeding volume, incidence of postoperative pain, time of anal gas exhaust, hospital stays after surgery, and infection rate of incision were all re- markably lower than those in control group. The differences mentioned above were statistically significant （P 〈 0.05）. The differences of residual rate of calculus and hiliary fistula after surgery in the two groups were not significant （P 〉 0.05）. However, in the observation group, the postoperative recovery of liver function was superior to that of control group （P 〈 0.05）. Conclusion The application of choledochoscope with laparoscope in treatmetlt of hepatolithiasis have some advantages of small wound, safety and reliability, and quick recovery after surgery, which is worthy of extension in clinic.
出处
《中国当代医药》
2013年第12期35-36,共2页
China Modern Medicine
关键词
肝胆管结石
胆道镜
腹腔镜
临床效果
Hepatolithiasis
Choledochoscope
Laparoscope
Clinical effect
