摘要
目的探讨胆总管结石患者的手术治疗体会。方法选取2013年7月到2014年11月我院接诊的39例胆总管结石患者,按照入院的先后顺序分为两组,观察组20例和对照组19例,观察组采用腹腔镜手术治疗,对照组采用传统开腹手术,观察两组患者的治疗效果。结果观察组患者的手术成功率、手术时间、术中出血量、住院时间、并发症的发生率及胆红素变化明显优于对照组,差异显著,有统计学意义(P<0.05)。结论腹腔镜手术治疗胆总管结石的效果显著,手术成功率高、手术时间短、术中出血量少、住院时间短,并发症少,值得临床推广。
Objective Surgery treatment experience of patients with choledocholithiasis is to be explored. Methods Select 39 patients of choledocholithiasis who are received and treated in hospital from July 2013 to November 2014 and separate them into two groups according to their hospitalization sequence with 20 patients in study group and 19 patients in control group; patients in study group are given laparoscopic surgery treatment,while patients in control group are given conventional laparotomy surgery treatment and then compare treatment efficacy between two groups. Results Patients’surgery success rate and mortality,surgery time and operation bleeding loss,their hospitalization days,complication incidence and bilirubin changes in study group are much more favorable than counterparts in control group;there is a treatment differential between two groups,and such a differential has statistic value (P〈0.05). Conclusion Laparoscopic treatment is of efficacy in treatment of patients of choledocholithiasis with higher surgery success rate,shorter operation time and less bleeding loss;it is conducive to reducing patients’hospitalization days as wel as complication incidence,therefore,such a surgery treatment is quite worthwhile to be clinical y promoted.
出处
《中国卫生标准管理》
2015年第9期187-188,共2页
China Health Standard Management
关键词
胆总管结石
腹腔镜手术
开腹手术
Choledocholithiasis
Laparoscopic surgery
Laparotomy surgery