摘要
目的总结腹腔镜微创与常规肝部分切除术治疗肝胆管结石临床疗效。方法选取笔者所在医院2013年3月—2017年3月收治的肝胆管结石患者共120例,根据手术方式的不同分为两组,对照组60例患者给予的是常规肝切除手术,观察组60例患者给予微创腹腔镜手术,对照临床效果。结果观察组患者的临床总有效率98.33%,高于对照组患者95.00%,差异无统计学意义(P>0.05)。观察组患者手术时间低于对照组患者,术中出血量低于对照组患者,差异有统计学意义(P<0.05)。观察组有1例出现胆漏,发生率是1.67%,低于对照组8例13.33%,差异有统计学意义(P<0.05)。结论腹腔镜微创治疗肝胆管结石临床总体疗效优于常规肝部分切除术,更加具有优势。
Objective To summarize the clinical effect of laparoscopic minimally invasive and conventional partial hepatectomy in the treatment of hepatolithiasis. Methods 120 patients with hepatolithiasis from March 2013 to March 2017 in our hospital were treated, according to the different surgical methods, they were divided into two groups. 60 patients in the control group were treated with conventional hepatectomy, and 60 patients in the observation group were treated with minimally invasive laparoscopic surgery, and the clinical effect was compared. Results The total clinical effective rate of the patients in the observation group was 98.33%, which was higher than that of the control group （95.00%）, and the difference was not statistically significant （P 〉 0.05）. The operative time of the patients in the observation group was lower than that of the control group, and the blood volume in the operation was lower than that of the control group, the difference was statistically significant （P 〈 0.05）. There were 1 case of bile leakage in the observation group, the incidence was 1.67%, lower than that of the control group of 8 cases （13.33%）. The difference was statistically significant （P 〈 0.05）. Conclusion The clinical effect of laparoscopic minimally invasive treatment of hepatolithiasis is better than that of conventional partial hepatectomy.
出处
《中国继续医学教育》
2017年第30期55-57,共3页
China Continuing Medical Education
关键词
腹腔镜
微创
常规肝部分切除术
肝胆管结石
laparoscopy
minimally invasive
conventional partial hepatectomy
hepatolithiasis
