腹腔镜经胆囊管胆总管取石术和胆总管切开取石术比较分析.docVIP

腹腔镜经胆囊管胆总管取石术和胆总管切开取石术比较分析 　　[摘要] 目的 对比分析腹腔镜经胆囊管胆总管取石术和胆总管切开取石术的临床效果。方法 整群选取2013年9月―2015年9月该院收治的胆总管结石行腹腔镜胆总管探查术患者58例，随机分为两组，各29例。对照组采用胆总管切开取石术，观察组采用经胆囊管胆总管取石术，对比两组手术时间、术后补液量、引流管放置时间、住院时间和并发症情况。结果 观察组术后补液量为（4.31±1.63）L，引流管放置时间为（14.62±2.61）d，均少于对照组，差异有统计学意义（P0.05）；观察组与对照组并发症发生率均为3.45%（1/29），差异无统计学意义（P0.05）。结论 腹腔镜经胆囊管胆总管取石术治疗胆总管结石患者明显优于胆总管切开取石术，可明显减少术后补液量，缩短引流管放置时间，并发症少，值得推广。 　　[关键词] 腹腔镜；经胆囊管胆总管取石术；胆总管切开取石术；疗效 　　[中图分类号] R657.4 [文献标识码] A [文章编号] 1674-0742（2016）03（b）-0077-03 　　[Abstract] Objective To compare and analyze the clinical effect of laparoscoplc transcystic common bile duct exploration and choledocholithotomy. Methods 58 cases of patients with choledocholithiasis receiving laparoscopic common bile duct exploration admitted and treated in our hospital from September 2013 to September 2015 were selected and randomly divided into two groups with 29 cases in each， the control group were treated with choledocholithotomy， the observation group were treated with laparoscoplc transcystic common bile duct exploration， the operative time， postoperative fluid supplement amount， drain time， length of stay and complication of the two groups were compared. Results The postoperative fluid supplement amount and drain time were（4.31±1.63） L and （14.62±2.61）d in the observation group， which were lower than those in the control group， and the differences were statistically significant P0.05， the incidence rates of complications in both groups were 3.45% （1/29） and the difference was not statistically significant P0.05. Conclusion The curative effect of laparoscoplc transcystic common bile duct exploration in treatment of patients with choledocholithiasis is obviously better than that of choledocholithotomy， which can obviously decrease the postoperative fluid supplement amount， shorten drain time with few complications， which is worth promotion. 　　[Key words] Laparoscoplc； Transcystic common bile duct exploration； Choledocholithotomy； Curative effect 　　随着腹腔镜技术日益成熟，腹腔镜下胆总管切开