腹腔镜与开腹手术治疗胆道结石的临床效果比较  

Comparison of Therapeutic Effects Between Laparoscopic and Open Surgery for Choledocholithiasis

作　　者：彭靖[1] 兰辉[1] 朱智辉[1] 

机构地区：[1]怀化医学高等专科学校附属医院暨怀化市三医院普外科,湖南怀化418000

出　　处：《医学临床研究》2010年第9期1710-1711,共2页Journal of Clinical Research

摘　　要：[目的]分析比较腹腔镜胆总管切开纤维胆道镜取石T管引流术（LCHTD）与胆结石开腹手术（OCHTD）的临床效果.[方法]对2008年1月至2009年6月45例肝内外胆管结石病人施行LCHTD与同期OCHTD的45例病例进行对比分析.[结果]两组手术病人均治愈出院.术中出血量、胃肠道功能恢复时间、住院时间,LCHTD组明显优于OCHTD组（P〈0.01）;而手术时间、带T管时间LCHTD组则长于OCHTD组（P〈0.05）.[结论]腹腔镜胆总管切开取石术安全、有效,可行.[Objective] To analyze and compare the clinical effects of laparoscoplc video choledochoiberscopic hepatocholangiolithotomy Ttube drainage（LCHTD） vs open choledochoiberscopic hepatocholangiolithotomy（OCHTD）[Methods] Forty five cases of extra- and intra-hepatic bile duct calculi underwent LCHTD, and 45 cases as controls underwent CCHTD from Jan. 008 to June 2009. The effects of two groups were compared and analyzed. [Results] All the patients of two groups were cured to discharge from hospital. The intraoperative bleeding volume, time of gastrointestinal recovery and hospitalization time in I.CHTD group were much superior to OCHTD group（ P〈0.01）, but the operation time and the time of the patients with T-tube in LCHTD group were longer than those in OCHTD group（ P〈0.05）. [Conclusion] Laparoscopic choledoeholithotomy is safe, effective and feasible.

关 键 词：胆结石/外科学 外科手术 腹腔镜 

分 类 号：R657.42[医药卫生—外科学]