胆囊颈管嵌顿性结石腹腔镜术后体会三要点(附81例临床报告)  

Three Points on Laparoscope Operation to Gallbladder Neck Incarceration Stone(with A Clinical Report of 81 Cases)

作　　者：袁文斌[1] 严强[1] 倪俊[1] 

机构地区：[1]湖州市中心医院,浙江湖州313000

出　　处：《浙江中医药大学学报》2013年第11期1319-1321,共3页Journal of Zhejiang Chinese Medical University

摘　　要：[目的]探讨胆囊颈嵌顿性管结石合理的处理方法和治疗技巧。[方法]选用2009年3月至2012年11月收治81例腹腔镜治疗的胆囊颈管嵌顿性结石患者的临床资料为实例分析依据;选用相关文献为理论分析佐证依据。[结果]所选实例中77例腹腔镜术成功实施,3例因胆囊三角解剖困难而中转开腹,1例发现胆总管结石行胆总管探查;与所选文献结果比较本研究腹腔镜术、中转行开腹术患者在切口长度、术中出血量、手术时间、住院时间与相关文献报道比较结果接近,差异无统计学意义(P>0.05);在术中出血量、手术时间、住院时间、手术并发症方面比相关文献报道结果要显好,差异有统计学意义(P<0.05)。[结论]正确的术前病情评估、手术时机与方法选择、手术治疗要点把握,这三要点是手术成功的关键。[Objective] To discuss the reasonable treatment and skill of gallbladder calculus.[Method] Select 81 cases of such patients, take their clinical data as examples for analysis foundation; and choose relative documents for evidence of theoretic analysis.[Result] 77 cases were successively operated of laparo- scope, 3 transferred for laparotomy owing to difficult anatomy of Colot mangle, 1 made probe of choledoch because of choledocholithiasis; compared with documents results, the incision length, bleeding, operaiotn time, in-hospital time and complications of laparoscope operation, transferred laparotomy in the study were similar to relative documentary reports, the differences had no statistical meaning; the intranperatve bleeding, operation period, in-hopital time, comphcations were better than documents, the differences had statistical meaning. [Conclusion] The correct pre-operation evaluation of disease condition, operation chance and methods selection, 3 operation points were the key of successful operaiton.

关 键 词：结石 胆囊颈管嵌顿 术前病情评估 手术时机 手术方法 治疗要点 

分 类 号：R575[医药卫生—消化系统]