腹腔镜联合胆道镜治疗胆囊及胆总管结石与开腹手术的效果比照观察.docVIP

精品论文 参考文献 腹腔镜联合胆道镜治疗胆囊及胆总管结石与开腹手术的效果比照观察 宋泽辉 　　中国人民解放军第二0三医院 黑龙江齐齐哈尔 161000 　　【摘 要】目的：研究腹腔镜联合胆道镜治疗胆囊及胆总管结石与开腹手术的效果比较。方法：选取2012年8月到2013年8月在我院肝胆外科住院的患者90例，随机分为对照组和观察组，各45例。对照组给予常规的开腹手术；观察组给予腹腔镜联合胆道镜下手术，观察两组的情况。结果：手术时间对照组多于观察组，术中出血量对照组大于观察组，住院天数对照组多，患者口苦，黄疸，右上腹疼痛，嗳气，反酸等症状消失的时间也是对照组长，术后排气时间对照组用时长，由此可见，对照组的治疗效果明显低于观察组（Plt;0.05），具有统计学意义。结论：腹腔镜联合胆道镜较开腹手术治疗胆囊及胆总管结石，疗效显著，安全性高，恢复快，值得在临床上推广使用。 　　【关键词】：腹腔镜；胆道镜；胆囊及胆总管结石；开腹手术 　　【中图分类号】R657.4 【文献标识码】B 【文章编号】1764-8999（2015）7-0453-02 　　Laparoscopy combined with choledochoscopy in treatment of cholecystolithiasis and choledocholithiasis and open operation effect contrastobservation 　　【Abstract】Objective:A comparative study of laparoscope combined with choledochoscope in the treatment of gallbladder and bile duct stones and open operation effect. Methods: From 2012 August to 2013 August in our hospital 90 cases in Department of hepatobiliary surgery patients were randomly divided into control group and observation group, 45 cases in each. The control group was givenconventional laparotomy; the observation group was given laparoscopicsurgery, observe two groups of case.Results: The time of operation control group than in the observation group, amount of bleeding during the operation of control group higher than the observation group, the number of days of hospitalization of control group, the patientspain, jaundice and right upper abdominal pain, belching, acid regurgitation and other symptoms disappear time is the contrast group, postoperative exhausttime control group with the duration, and therefore, the effect of treatmentgroup was obviously lower than those in the observation group, with statistical significance (Plt;0.05).Conclusion: Laparoscope combined with choledochoscope in operation than conventionaltreatment of gallbladder and common bile duct stones, obvious curative effect,high safety, quick recovery, is worthy to be popularized in clinical use. 　　【Keywords】Laparoscopy; choledochoscopy; gallbladder and common bi