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胆总管结石患者的手术治疗体会 被引量:1

Surgery Treatment Experience of Patients with Choledocholithiasis
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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.
作者 刘友志
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
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  • 1胡三元,陈波.腹腔镜胆道手术现状与进展[J].中国医师进修杂志(外科版),2007,30(9):6-8. 被引量:16
  • 2Lu J, Xiong XZ, Cheng Y, et al. One-stage versus two-stage management for concomitant gallbladder stones and common bile duct stones in patients with obstructive jaundice[ J]. Am Surg,2013,79( 11 ):1142-1148.
  • 3Bansal VK, Misra MC, Rajan K, et al. Single-stage laparoscopic common bile duct exploration and cholecystectomy versus two- stage endoscopic stone extraction followed by laparoscopic cholecystectomy for patients with concomitant gallbladder stones and common bile duct stones :a randomized controlled trial[ J ]. Surg Endosc ,2014,28 (3) :875-885.
  • 4Masoni L, Marl FS, Pietropaolo V, et al. Laparoscopic treatment for unsuspected common bile duct stones by transcystic sphincter of Oddi pneumatic balloon dilation and pressure-washing technique [ J ]. World J Surg,2013,37 (6) :1258-1262.
  • 5Kroh M, Chalikonda S, Chand B, et al. Laparoscopic completion cholecystectomy and common bile duct exploration for retained gallbladder after single-incision cholecystectomy [ J ]. JSLS, 2013,17 ( 1 ) : 143-147.
  • 6Balandraud P, Biance N, Peycru T, et al. Fortuitous discovery of com- monbile duct stones: results of a conservative strategy. Gastroenterol Clin Bid 2008 ;32:408 - 412.
  • 7Yoo KS, Lehman GA. Endoscopic management of biliary ductal- stones. Gastroenterol Clin N Am,2010,39 (2) : 209 - 227.
  • 8Williams EJ,Green J,Beckingham I,ct al. Guidelines on the management of common bile duct stones(CBDS). Gut, 2008,57:1004-1021.
  • 9杨传光,胡伟文.腹腔镜、胆道镜联合治疗胆囊胆总管结石的临床应用[J].内蒙古中医药,2009(4):32-33. 被引量:6
  • 10陶涛,石刚,彭祥玉,赵国刚.腹腔镜和胆道镜联合治疗胆总管结石(附523例报道)[J].中国普外基础与临床杂志,2009,16(8):649-653. 被引量:49

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