胆道镜经胆囊管胆道取石术的临床应用研究  

The Study on the Choledochalithotomy by Laparoseople Transcystic Common Bile Duct Exploration

作　　者：张普元[1] 

机构地区：[1]四川省郫县人民医院普外科,四川郫县611730

出　　处：《中国医药指南》2011年第18期20-21,共2页Guide of China Medicine

摘　　要：目的观察经胆囊管胆道取石术治疗胆总管结石的效果。方法通过回顾性分析方法对郫县人民医院2005年至2010年行胆囊管胆道取石术与同期行开腹T管引流术的患者120例,通过比较手术时间、术中出血、术后止痛次数、肠蠕动恢复时间、一次性结石清除率以及发症发生例数,评价治疗效果。结果与开腹T管引流术相比,胆囊管胆道取石术所用时间、术中出血、术后镇痛次数、胃肠道恢复时间以及住院时间均低于前者(P<0.05),同时胆囊管胆道取石术发生胆管结石术后并发症也较OCHTD组少(P<0.05)。而两种手术对胆总管结石的一次性清除率无明显差异(P>0.05)。结论胆囊管胆道取石术术式微创,临床效果好,能取代大部分开腹胆总管探查术,值得进一步推广。Objective To investigate the clinical results of choledocholithotomy by l1aparoseople transcystic common bile duct exploration.Methods 120 patients with choledocholithiasis underwent laparoscopic common bile duct exploration from 2005 to 2010 in Pixian People＇s Hospital.The clinical data in the two groups,such as operation time,blood loss,the number of injection pain,bowel recovery time,one stone clearance rate and the number of cases complications occurred,were analyzed comparatively.Results Comparing to OCHTD,1aparoseople transcystic common bile duct exploration was less in operation time,blood loss,the number of injection pain,bowel recovery time（P〈0.05）.However,there were no difference in once stone clearance rate（P〈0.05）.Conclusions Laparoseople transcystic common bile duct exploration have advantage in minimally invasive surgical procedures and clinical effect,and could replace the common bile duct exploration laparotomy in the future.Therefore,it should be worthy of further promotion.

关 键 词：胆总管结石 开腹T管引流术 腹腔镜胆总管切开探查取石术 

分 类 号：R575.62[医药卫生—消化系统]