腹腔镜手术治疗合并肝硬化胆囊结石疗效及安全性评价.docVIP

腹腔镜手术治疗合并肝硬化胆囊结石疗效及安全性评价 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：腹腔镜手术治疗合并肝硬化胆囊结石疗效及安全性评价论文 1 1资料与方法 3 文2：腹腔镜手术治疗胆囊结石合并胆总管结石的临床效果 5 参考文摘引言： 6 原创性声明（模板） 8 文章致谢（模板） 8 正文 腹腔镜手术治疗合并肝硬化胆囊结石疗效及安全性评价 文1：腹腔镜手术治疗合并肝硬化胆囊结石疗效及安全性评价论文 Efficacy and Safety Evaluation of Laparoscopic Surgery in the Treatment of Gallbladder Stone with Cirrhosis TANG Fan （Dazhu County Peoples Hospital，Dazhu 635100，Sichuan，China） Abstract：Objective To explore the clinical treatment of liver cirrhosis complicated with gallstones， laparoscopic treatment， analyze the clinical treatment effect， to evaluate the safety and treatment and lay the foundation for the clinical 64 cases of liver from June 2014 self hospital in ～2015 December during the hardening of cholecystolithiasis patients， were treated with different treatment regime were compared the application and clinical observation. Results Different treatments， the test group were treated by laparoscopic treatment of the clinical indicato were significantly better than the control group， such as bleeding， surgery， postoperative exhaust time and hospitalization time， significant difference （P 0 .05）. The test group was treated with laparoscopic treatment of postoperative 7 days control group was better than that of biochemical indexes， such as TBIL， ALT， PT， significant difference （P ）. And the test group were treated by laparoscopic treatment of the complication rate （%， 1/32） was significantly lower than the control group （%， 6/32）， significant difference （P ）.Conclusion The clinical treatment of liver cirrhosis complicated with gallstones，laparoscopic treatment can significantly improve clinical indexes of patients，accelerate rehabilitation，with better security，should be widely promoted。 Key words：Liver cirrhosis；Gallbladder stone；Laparoscopy；Effect；Safety 作为普外科常见病变之一的胆囊结石，其发病率较高，尤其是在肝硬化患者，其发病率更高，高于正常人的2～5倍[1]。就胆囊结石合并肝硬化患者来讲，因肝硬化患者自身肝脏储备功能降低、存在门脉高压和凝血机制异常等，因此在一定程度上也加大了胆囊切除的难度[2]。且肝硬化与胆囊结石可以互相影响，形成恶性循环。近些年，随着医学技术的发展与完善，腹腔镜治疗已攻破这