摘要
目的探讨两种不同的微创治疗方式对胆总管结石合并胆囊结石患者的治疗效果。方法两组患者在入院时即进行患者全部信息的采集,包括患者入院时的病程、胆管炎类型的各项指标等,以便研究过程中随时进行比较。两组患者分别使用EST/ERCP+LC和LCBDE+LC作为手术方式。并把手术过程中的住院时间、费用、出血量等作为临床治疗指标,统计并比较患者的并发症发生率,胆结石清除成功率、胆结石复发率,以及两组患者的治疗满意度。结果两组患者的术后排气时间比较并无明显差异,然而LCBDE+LC组的其他指标,住院时间,术中出血量,手术时间和住院费用等均显著低于EST/ERCP+LC组;LCBDE+LC组患者总的并发症发生率为9.03%;EST/ERCP+LC组患者总的并发症发生率为25.00%;LCBDE+LC组的胆结石清除成功率为87.88%(30/33),为6.06%(2/33,);EST/ERCP+LC组组的胆结石清除成功率为75.00%(20/28),胆结石复发率为10.71%(3/28);LCBDE+LC组患者的治疗满意度统计中,总满意度为90.90%(30/33);EST/ERCP+LC组患者的治疗满意度统计中,总满意度为85.71%(21/28)。结论两种微创手术各有优点,胆管总直径较小的患者更适用于EST/ERCP+LC手术方式,经济困难或想缩短住院时间者更适用于LCBDE+LC。
Objective To explore the therapeutic effects of two different minimally invasive treatments on patients with choledocholithiasis and gallbladder stones.Methods The two groups of patients will collect all the patient information when they are admitted to the hospital,including the course of the patient's disease at the time of admission,various indicators of the type of cholangitis,etc.,so that they can be compared at any time during the study.Two groups of patients used EST/ERCP+LC and LCBDE+LC as surgical methods,respectively.The length of hospital stay,cost,blood loss,etc.during the operation were counted as clinical treatment indicators,and the incidence of complications,the success rate of gallstone removal,the recurrence rate of gallstones,and the treatment satisfaction of the two groups of patients were counted and compared.Results There was no significant difference in the postoperative exhaust time between the two groups.However,the other indicators of the LCBDE+LC group,hospitalization time,intraoperative blood loss,operation time and hospitalization expenses were significantly lower than those of the EST/ERCP+LC group;The total complication rate in the LCBDE+LC group was 9.03%;the total complication rate in the EST/ERCP+LC group was 25.00%;the success rate of gallstone removal in the LCBDE+LC group was 87.88%(30/33),6.06%(2/33,);the success rate of gallstone removal in the EST/ERCP+LC group was 75.00%(20/28),and the recurrence rate of gallstones was 10.71%(3/28);LCBDE+LC In the treatment satisfaction statistics of patients in the group,the total satisfaction rate was 90.90%(30/33);in the treatment satisfaction statistics of patients in the EST/ERCP+LC group,the total satisfaction rate was 85.71%(21/28).Conclusion The two minimally invasive procedures have their own advantages.Patients with smaller total bile duct diameter are more suitable for EST/ERCP+LC surgery,and those with financial difficulties or who want to shorten the hospital stay are more suitable for LCBDE+LC.
作者
张金杰
ZHANG Jin-jie(General Surgery,Qixian Hospital of Traditional Chinese Medicine,Kaifeng 475200,Henan Province,China)
出处
《罕少疾病杂志》
2022年第9期46-48,共3页
Journal of Rare and Uncommon Diseases
关键词
微创治疗
胆总管结石
胆囊结石
治疗效果
Minimally Invasive Treatment
Common Bile Duct Stones
Gallbladder Stones
Therapeutic Effect
作者简介
第一作者/通讯作者:张金杰,男,主治医师,主要研究方向:普外科。E-mail:284073312@qq.com。
