摘要
目的探讨腹腔镜与开腹肝切除术治疗肝内胆管结石的临床疗效。方法将120例肝内胆管结石患者根据手术方式分为腹腔镜组68例和开腹组52例。比较两组患者术中情况和术后恢复情况相关指标,比较两组并发症发生率。结果两组患者手术时间、术中出血量和术中输血情况比较差异无统计学意义(P>0.05)。腹腔镜组术后镇痛时间、术后排气时间、术后进食时间、术后卧床时间和术后住院时间均显著短于开腹组(P<0.01),术后并发症发生率显著低于开腹组(P<0.05)。两组即时结石清除率及最终结石清除率比较差异无统计学意义(P>0.05)。结论腹腔镜肝切除术治疗肝内胆管结石效果显著,患者术后恢复快,并发症少,值得临床推广。
Objective To investigate the clinical effect of laparoscopic and open hepatectomy on the treat-ment of hepatolithiasis.Methods 120 patients with hepatolithiasis were divided into laparoscope group (n=68)and open hepatectomy group (n =52)according to the surgical method.The-intraoperative and postoperative recovery indexes of the two groups were compared,and the incidence of complications was compared between the two groups.Result There were no significant differences in the operation time,intraoperative blood loss and intraoperative blood transfusion between the two groups (P>0.05).The post-operative analgesia time,postoperative exhaust time,postoperative feeding time,postoperative bed rest time and postoperative hospital stay were significantly shorter in the laparoscope group than those in the open hepatectomy group (P<0.01).The incidence of postoperative complications was significantly lower than that of the open hepatectomy group (P<0.05).There were no significant differences in the immedi- ate stone clearance rate and the final stone clearance rate between the two groups (P>0.05).Conclusion Laparoscopic hepatectomy is effective in the treatment of hepatolithiasis,the patients recover quickly and have fewer complications,which is worthy of clinical promotion.
作者
张帆
李忠
邹善贵
郭永刚
井红民
Zhang Fan;Li Zhong;Zou Shangui;Guo Yonggang;Jing Hongmin(Pingdingshan First People's Hospital,Pingdingshan 467000,Henan,China)
出处
《临床心身疾病杂志》
CAS
2019年第1期145-147,155,共4页
Journal of Clinical Psychosomatic Diseases
