两种术式对LC术后胆总管残余结石患者取石成功率、住院时间及并发症发生率的影响.docVIP

精品论文 参考文献 两种术式对LC术后胆总管残余结石患者取石成功率、住院时间及并发症发生率的影响 （达州市中西医结合医院肝胆外科 四川 达州 635000） 　　【摘要】 目的:探讨开腹胆道探查与逆行胰胆管造影（ERCP）术式对LC术后胆总管残余结石患者取石成功率、住院时间及并发症发生率的影响。方法：研究对象选取我院肝胆外科2008年1月～2014年12月收治腹腔镜胆囊切除术后胆总管残余结石患者共110例，采用随机抽签法分为对照组（55例）和观察组（55例），分别采用开腹胆道探查和ERCP术式治疗；比较两组患者取石成功率、住院时间及术后并发症发生率等。结果：两组患者取石成功率比较差异无统计学意义（Pgt;0.05）；观察组患者住院时间显著短于对照组，差异有统计学意义（Plt;0.05）；同时观察组患者术后并发症发生率显著低于对照组，差异有统计学意义（Plt;0.05）。结论：相较于开腹胆道探查，ERCP治疗腹腔镜胆囊切除术后胆总管残余结石可有效缩短住院时间，加快术后康复进程，并有助于降低术后并发症发生风险。 　　【关键词】 胆道探查；ERCP；EST；腹腔镜胆囊切除术；胆总管结石 　　【中图分类号】R575.6 【文献标识码】A 【文章编号】2095-1752（2016）30-0068-02 　　Effects of two kinds of surgical treatment on the stone removal success rate, hospitalization time and complication incidence of patients with remnant stones of bile duct after LC Zou Hua, Liu Weizheng, Jia Xuefeng 　　Department of Hepatobiliary Surgery, Dazhou Combinational Hospital of Chinese and Western Medicine, Dazhou 635000, China 　　【Abstract】Objective To investigate the effects of two kinds of surgical treatment including open bile duct exploration and ERCP on the stone removal success rate, hospitalization time and complication incidence of patients with remnant stones of bile duct after LC. Methods 110 patients with remnant stones of bile duct after laparoscopic cholecystectomy in the period from January 2008 to December 2014 in our hospital were chosen and randomly divided into both group including control group (55 patients) with open bile duct exploration and treatment group (55 patients) with ERCP; and the stone removal success rate, hospitalization time and postoperative complication incidence of both groups were compared. ResultsThere was no significant difference in stone removal success rate between 2 groups （Pgt;0.05）. The hospitalization time of treatment group was significantly shorter than control group（Plt;0.05）. The postoperative complication incidence of treatment group was significantly lower than control group（Plt;0.05）. Conclusion Compared with open bi