腹腔镜联合胆道镜治疗肝胆管结石的临床效果及安全性分析.docVIP

精品论文 参考文献 腹腔镜联合胆道镜治疗肝胆管结石的临床效果及安全性分析 （四川医科大学附属第一医院 四川 泸州 646000） 【摘要】 目的：观察并分析腹腔、胆道镜联合对于治疗患有肝胆管结石患者的临床疗效。方法:选取本院2013年7月至2015年7月收治的130例肝胆管结石患者作为本次研究对象，随机分为研究组与对照组，每组65例，对照组行开腹手术对患者进行治疗，研究组则使用析腹腔、胆道镜联合对患者进行治疗。观察并对比两组患者手术过程中的出血量、发生并发症的几率、手术进行与住院时间。结果：通过治疗，研究组不仅在手术过程中的出血量与住院时间方面上优于对照组(P＜0.05)，且发生并发症的几率也少于对照组许多(P＜0.05)，两组之间的差异比较具有统计学意义。两组的手术操作时间相对比，差异没有统计学意义（P＞0.05）。结论：对于肝胆管产生结石的患者使用腹腔、胆道镜联合进行治疗，不仅效果明显，且并发症少，安全性高，值得在临床中推广及应用。 【关键词】 腹腔镜；肝胆管结石；胆道镜；开腹 【中图分类号】R45 【文献标识码】A 【文章编号】2095-1752（2016）02-0043-02 Clinical effect and safety analysis of laparoscopic combined with biliary endoscopy in the treatment of bile duct stones Wen jian. The First Affiliated Hospital of Sichuan Medical University, Sichuan Province, Luzhou 646000, China 【Abstract】Objective To observe and analyze the clinical effect of abdominal cavity and biliary endoscopy in the treatment of patients with hepatic bile duct stones. Methods 130 cases of patients with hepatic bile duct stones from July 2013 to July 2015 were randomly divided into study group and control group, 65 cases in each group, the control group was treated with open surgery, the study group was treated with peritoneal cavity and biliary endoscopy. The bleeding volume, the incidence of complications, the risk of complications, and the length of hospital stay were observed and compared in the two groups. Results The study group was superior to the control group (P lt; 0.05), and the incidence of complications was less than that of the control group (P lt; 0.05), and the difference between the two groups was statistically significant. Conclusion For the patients with bile duct stones in the use of the abdominal cavity, biliary endoscopy for treatment, not only effective, and less complications, safe, worthy of promotion and application in clinical. 【Key words】Laparoscopy; Liver bile duct stones; Bile duct endoscopy; Open 肝胆管产生结石是一种在外科当中比较常见的疾病，且较为多发，它因为肝内的胆管里的节段性结石发生病变，由于结石长时间的存在使肝胆管发生纤维化，且肝胆管