腹腔镜下胆总管探查术治疗胆囊结石合并胆总管结石的临床疗效和安全性分析.docVIP

精品论文 参考文献 腹腔镜下胆总管探查术治疗胆囊结石合并胆总管结石的临床疗效和安全性分析 郑治国 　　（武警福建省边防总队医院外科 福建 泉州 362000） 　　【摘要】 目的：探讨腹腔镜下胆囊切除联合胆总管探查取石一期缝合术治疗胆囊结石合并胆总管结石的疗效和安全性。方法：选取74例胆囊结石合并胆总管结石患者的临床资料进行回顾性分析，分别采用腹腔镜下胆囊切除联合胆总管探查取石一期缝合术（观察组）和腹腔镜下胆囊切除，胆总管切开取石T管引流术（对照组），观察其临床疗效和安全性。结果：观察组并发症发生率低于对照组，其差异有统计学意义(Plt;0.05)；观察组血清Na+，K+水平高于对照组，ALT和AST水平低于对照组，其差异均有统计学意义(Plt;0.05)；而BUN和SCr水平两组之间差异无统计学意义(Pgt;0.05)。结论：腔镜下胆囊切除联合胆总管探查取石一期缝合术可干净彻底地清除结石，同时降低术后胆漏、电解质紊乱，消化功能不良等并发症，具有较好的临床疗效和安全性。 　　【关键词】 腹腔镜；胆总管探查术；胆囊结石；胆总管结石 　　【中图分类号】R656 【文献标识码】A 【文章编号】2095-1752（2016）13-0100-02 　　Clinical efficacy and safety analysis of laparoscopic common bile duct exploration in the treatment of gallbladder stones with common bile duct stones Zheng Zhi guo. Department of Surgery Peoples Armed Police Frontier Corps Hospital in Fujian Province 362000 　　【Abstract】Objective To investigate the efficacy and safety of laparoscopic cholecystectomy combined with common bile duct exploration in the treatment of gallbladder stones with common bile duct stones. Methods The clinical data of 74 cases of patients with gallbladder stones combined with common bile duct stones were retrospectively analyzed. The clinical efficacy and safety of laparoscopic cholecystectomy combined with common bile duct exploration (observation group) and laparoscopic cholecystectomy (control group) were analyzed respectively. Results Observation group, the complication rate was lower than the control group, the difference has statistical significance (P lt; 0.05). In the observation group, serum Na +, K + level is higher than that of the control group, the ALT and AST levels were lower than the control group, the differences were statistically significant (P lt; 0.05); and BUN and SCR levels between the two groups difference was not statistically significant (P gt; 0.05).Conclusion Laparoscopic gallbladder resection combined with common bile duct stones one stage suture can clean thoroughly and remove the calculus, at the sam