腹腔镜经胆囊管胆总管取石术与胆总管切开取石术比较分析  

Comparative Analysis of Laparoscoplc Transcystic Common Bile Duct Exploration and Choledocholithotomy

作　　者：张代场[1] 梁辉声 廖伟民[1] 林枫[1] 黄驿胜[1] 

机构地区：[1]福建医科大学附属闽东医院普通外科,福建宁德355000

出　　处：《中外医疗》2016年第8期77-78,89,共3页China & Foreign Medical Treatment

摘　　要：目的对比分析腹腔镜经胆囊管胆总管取石术和胆总管切开取石术的临床效果。方法整群选取2013年9月—2015年9月该院收治的胆总管结石行腹腔镜胆总管探查术患者58例,随机分为两组,各29例。对照组采用胆总管切开取石术,观察组采用经胆囊管胆总管取石术,对比两组手术时间、术后补液量、引流管放置时间、住院时间和并发症情况。结果观察组术后补液量为(4.31±1.63)L,引流管放置时间为(14.62±2.61)d,均少于对照组,差异有统计学意义(P<0.01);两组手术时间和住院时间上的差异无统计学意义(P>0.05);观察组与对照组并发症发生率均为3.45%(1/29),差异无统计学意义(P>0.05)。结论腹腔镜经胆囊管胆总管取石术治疗胆总管结石患者明显优于胆总管切开取石术,可明显减少术后补液量,缩短引流管放置时间,并发症少,值得推广。Objective To compare and analyze the clinical effect of laparoscoplc transcystic common bile duct exploration and choledocholithotomy. Methods 58 cases of patients with choledocholithiasis receiving laparoscopic common bile duct exploration admitted and treated in our hospital from September 2013 to September 2015 were selected and randomly divided into two groups with 29 cases in each, the control group were treated with choledocholithotomy, the observation group were treated with laparoscoplc transcystic common bile duct exploration, the operative time, postoperative fluid supplement amount, drain time, length of stay and complication of the two groups were compared. Results The postoperative fluid supplement amount and drain time were（4.31±1.63） L and（14.62±2.61）d in the observation group, which were lower than those in the control group, and the differences were statistically significant P〈0.01, the differences in the operation time and length of stay between the two groups were not obvious P〉0.05, the incidence rates of complications in both groups were3.45%（1/29） and the difference was not statistically significant P〉0.05. Conclusion The curative effect of laparoscoplc transcystic common bile duct exploration in treatment of patients with choledocholithiasis is obviously better than that of choledocholithotomy, which can obviously decrease the postoperative fluid supplement amount, shorten drain time with few complications, which is worth promotion.

关 键 词：腹腔镜 经胆囊管胆总管取石术 胆总管切开取石术 疗效 

分 类 号：R657.4[医药卫生—外科学]