腹腔镜联合胆管镜钬激光治疗肝内外胆管结石临床探讨.docVIP

腹腔镜联合胆管镜钬激光治疗肝内外胆管结石临床探讨 　　 　　 　　[摘要] 目的 探讨腹腔镜联合胆管镜、钬激光治疗肝内外胆管结石的临床效果。 方法 回顾性分析本院收治的50例肝内外胆管结石患者，根据手术方式将所有患者分为实验组和对照组各25例，对照组行传统开腹手术，实验组采用腹腔镜联合胆管镜、钬激光手术，比较两组患者的临床治疗效果。 结果 对照组患者术中平均出血量为（310±50）ml，术后排气时间为（45±5）h，住院时间为（12±2）d，术后出现切口感染3例，肠粘连2例，术后行“T”管造影发现胆管残留结石4例；实验组患者术中平均出血量为（90±15）ml，术后排气时间为（23±4）h，住院时间为（8±1.5）d，术后胆管残留结石1例。两组间比较，差异有统计学意义（P＜0.05）。 结论 腹腔镜联合胆管镜、钬激光治疗肝内外胆管结石安全有效，值得推广应用。 　　[关键词] 腹腔镜；胆管镜；钬激光；肝内外胆管结石 　　[中图分类号] R575.7[文献标识码] B[文章编号] 1674-4721（2014）03（c）-0162-02 　　 　　Clinical study of laparoscope combined with choledochoscope,holmium laser in the treatment of intrahepatic and extrahepatic bile duct stones 　　YIN Yao-hua LIU Guo-sheng LIN Hui-qi YIN Zhao-cheng HUANG Juan-jie 　　Department of General Surgery,Qingxi Hospital of Dongguan City in Guangdong Province,Dongguan523660,China 　　[Abstract] Objective To investigate the clinical effect of laparoscopy combined with choledochoscopy and holmium laser in the treatment of intrahepatic and extrahepatic bile duct stones. Methods 50 cases of hepatolithiasis patients admitted to our hospital were analyzed retrospectively,and they were divided into experimental group(25 cases) and control group(25 cases) according to the operation mode,control group received traditional open operation,the experimental group used laparoscope combined with choledochoscope,holmium laser operation,the clinical treatment effects was compared between the two groups. Results The hemorrhage during operation in control group was(310±50)ml,the anus exhaust time after operation was(45±5)h,the hospitalization time was(12±2)d,postoperative incision infection were 3 case and intestinal adhesion were 2 cases,postoperative T tube was found in 4 cases of biliary residual stones.The hemorrhage during operation in experimental group was(310±50)ml,the anus exhaust time after operation was(23±4)h,the hospitalization time was(8±1.5)d,one case of postoperative residual biliary tract stones.Compared with the two groups,the differences of two groups