腹腔镜肝切除治疗肝内胆管结石的疗效观察.docVIP

精品论文 参考文献 腹腔镜肝切除治疗肝内胆管结石的疗效观察 常德市第一人民医院普外二科 湖南常德 415000 　　【摘 要】目的：分析腹腔镜肝切除治疗肝内胆管结石的疗效。方法：回顾性分析106例肝内胆管结石患者的临床资料，均具有腹腔镜肝切除治疗指征；其中57例患者采取腹腔镜肝切除治疗，作为观察组；另外49例患者采取开腹肝切除治疗，作为对照组；对比两组患者的围术期情况及随访观察结果。结果：与对照组对比，观察组术中失血量明显减少，术中输血率明显降低，引流管放置时间、住院时间均明显缩短，经T检验，差异具有统计学意义（P＜0.05）；但两组手术时间差异无统计学意义（P＞0.05）；观察组并发症发生率明显小于对照组，经chi;2检验，差异具有统计学意义（P＜0.05）；但两组术后残石率、复发率差异无统计学意义（P＞0.05）。结论：腹腔镜肝切除治疗肝内胆管结石的疗效与开腹肝切除治疗的相当，但前者的创伤性小、安全性高、术后恢复快，值得临床推广使用。 　　【关键词】肝内胆管结石；腹腔镜肝切除；开腹肝切除 　　Effect of laparoscopic hepatectomy on intrahepatic bile duct stones 　　HeYingjun 　　First People s Hospital of Changde City HunanChangde 415000 　　 　　[Abstract] Objective：To analyze the curative effect of laparoscopic hepatectomy for intrahepatic bile duct stones. Methods：Retrospective analysis of 106 cases of intrahepatic stones in patients with clinical data，have indications of laparoscopic hepatectomy；of which 57 patients treated with laparoscopic hepatectomy as the observation group；another 49 patients with open liver resection Treatment，as the control group；the two groups of patients compared the perioperative situation and follow-up observations. Results：Compared with the control group，the blood loss in the observation group was significantly reduced，the blood transfusion rate was significantly reduced，the drainage tube placement time and hospitalization time were significantly shortened，the difference was statistically significant（Plt;0.05）. The incidence of complications in the observation group was significantly lower than that of the control group（Plt;0.05），but the difference was significant（Plt;0.05）There was no significant difference in recurrence rate between the two groups（Pgt;0.05）. Conclusion：The effect of laparoscopic hepatectomy for the treatment of intrahepatic bile duct stones is comparable to that of open laparotomy. However，the former is less invasive，safe and quicker after operation. It is worthy to be popularized. 　　Key words：intrahepatic bile duct stones；laparoscopic hepatectomy；open liver res