双镜联合胆总管切开取石与传统开腹手术治疗胆石症的效果比较  

Comparison of the effect of laparoscopic combined with choledochoscopic Uthotomy and traditonal laparotomy for cholelithiasis

作　　者：张健[1] 

机构地区：[1]淮南市第一人民医院普外科,安徽省淮南232007

出　　处：《中国基层医药》2013年第24期3750-3752,共3页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的研究及对比在胆石症的治疗中，腹腔镜、胆道镜联合取石与常规开腹手术的疗效差异。方法、对30例行腹腔镜胆囊切除术（LC）＋腹腔镜下旦官镜胆总管探查术（LCBDE）＋T管引流术的胆石症患者，以及同期行传统开腹的28例患者的病例资料进行回顾性分析。结果研究组术中出血量（25±6）mL、住院时间（11．3±1．2）d、并发症发生率（4例）均少于对照组（P〈0．05）；研究组结石清除率90．0％和住院总费用（1．88±0．24）万元虽低于对照组，但两组差异无统计学意义（P〉0．05）。结论“双镜”联用（腹腔镜、胆道镜）治疗胆石症具有安全、有效、恢复快的优点，是具有广阔前景的微创手术方式。Objective To study and compare the clinical efficacy of the laparoscopic combined with choledo- choscopic lithotomy and traditional laparotomy for cholelithiasis. Methods The clinical data of 30 patients with cho- ldithiasls received LC ＋ LCBDE ＋ T-tube drainage （ observation group） and 28 patients treated by traditional opera- tion （control group） were retrospectively analyzed. Results The intraoperative blood loss,length of hospital stay,in- cidence of complications in the observation group were （25 ± 6） mL, （ 11.3 ± 1.2） d,4 cases, which were significantly lower than those in the control group （ P 〈 0. 0 5 ） . There were no statistically significant differences in the clearance rate of calculus and cost of hospitalization between the two groups （P 〉 O. 05）. Conclusion Laparoscopic combined with choledochoscopic lithotomy is safe, effective, and helpful to recovery quickly, which is a minimally invasive sur- gery with an even brighter future.

关 键 词：胆囊切除术 腹腔镜 胆石 胆总管造口术 

分 类 号：R657.4[医药卫生—外科学]