腹腔镜与开腹手术治疗胆囊结石并肝外胆管结石的效果被引量：13

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摘要目的对比腹腔镜与传统开腹手术治疗胆囊结石并肝外胆管结石的疗效和安全性。方法选取我院2014年1月-2016年12月期间收治的88例胆囊结石并肝外胆管结石患者,按随机数字表法将胆囊结石并肝外胆管结石患者分为腹腔镜组(44例)和开腹组(44例),腹腔镜组患者给予腹腔镜手术治疗,开腹组患者给予开腹手术治疗,观察两组患者手术指标、疗效指标及并发症情况。结果腹腔镜组患者术中出血量、术后禁食时间、术后排便时间、住院时间均低于开腹组,手术时间长于开腹组(P均<0.05);两组胆总管通畅率、结石残留率、结石复发率比较差异均无统计学意义(P均>0.05);腹腔镜组发生胆道出血1例,肺部感染1例,胆漏1例,并发症发生率(6.82%)低于开腹组(27.27%)(P<0.05)。结论腹腔镜手术治疗胆囊结石并肝外胆管结石与开腹手术有相近的临床治疗效果,且手术创伤小、并发症少。

作者刘兵何劲松

机构地区广东省中山市古镇人民医院外一科广东省深圳市第二人民医院乳甲外科

出处《宁夏医科大学学报》 2018年第1期74-76,共3页 Journal of Ningxia Medical University

关键词腹腔镜手术开腹手术胆囊结石肝外胆管结石

分类号 R364.25 [医药卫生—病理学]

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