摘要
目的探讨对肝内外胆道结石患者采用腹腔镜联合胆道镜治疗的效果及安全性。方法选择2010年5月至2013年5月我院收治的80例肝内外胆道结石患者作为临床观察对象。按照患者的意愿分为治疗组(40例)与对照组(40例)。治疗组给予腹腔镜与胆道镜联合治疗,对照组给予常规的开腹手术治疗。主要观察两组患者手术时间、手术出血量、术后下床活动时间、术后并发症率及住院天数等治疗指标。结果治疗组在手术时间、术后下床活动时间及住院天数方面,用时均显著短于对照组(P<0.05);治疗组手术出血量也比对照组少,两组比较差异具有统计学意义(P<0.05);治疗组术后出现胆道出血2例,胆源性胰腺炎1例,感染1例,总并发症率为10%,对照组出现胆漏2例,胆道出血5例,胆源性胰腺炎2例,感染3例,总并发症率是30%,两组并发症率比较差异显著(P<0.05)。结论采用腹腔镜联合胆道镜实施肝内外胆道结石手术,具有比开腹手术创伤小、术中出血量少、术后并发症少等优势,安全有效,疗效确切,此法值得临床推广应用。
Objective To investigate the application efficacy of laparoscope combined with choledochoscope in the treatment of internal/external biliary calculi and it＆#39;s safety.Methods Totally 80 cases ofpatients suffered from internal/external biliary calculi were included in this study , and they were divided into treatment group （ n=40 ） and control group （ n =40 ） according to their own will .Patients in treatment group received therapy under laparoscopeand choledochoscope , while patients in control group received conventional surgical therapy .Record the operation time , amount of bleeding , postoperative ambulation time , postoperative complication rate and hospitalize time .Results Operative time, postoperative ambulation time and hospitalize time of the treatment group were significantly shorter than the control group , and the amount of bleeding of treatment group was less than the control group （P＆lt;0.05）.The total complication rate in treatment group was 10%（ including 2 cases of biliary tract bleeding .one case of biliary pancreatitis and one case of infection ） , and the total complication rate in control group was 30%（ including 5 cases of biliary tract bleeding .2 case of biliary pancreatitis and 3 case of infection）, complication rate between the two groups significantly different （P＆lt;0.05）. Conclusions Laparoscopecombined with choledochoscope was effective and safe in the treatment of biliary calculi for it had the advantages such as little trauma , less blood loss , fewer complications .Itis worthy of clinical application .
出处
《齐齐哈尔医学院学报》
2014年第5期639-640,共2页
Journal of Qiqihar Medical University
关键词
腹腔镜
胆道镜
肝内外胆管结石
效果
Laparoscope
Choledochoscope
Internal/external biliary calculi
Efficacy
