腹腔镜联合胆道镜治疗胆总管结石与传统开腹手术的比较  

Joint Choledochoscope Laparoscopic Treatment of Common Bile Duct Calculi was Compared with the Traditional Open Operation

作　　者：李玉录[1] 陈鑫[1] 郭山林[1] 

机构地区：[1]河南省沈丘县人民医院,河南周口466300

出　　处：《中国卫生产业》2016年第6期23-25,共3页China Health Industry

摘　　要：目的比较两镜联合胆总管探查术与传统开腹手术的效果。方法回顾性分析该院2009年1月—2014年1月应用两镜联合技术治疗138例胆总管结石患者的临床资料,比较其与138例传统开腹手术的效果差异,包括术中出血量、术后胃肠功能恢复时间、术后72 h伤口疼痛率、术后并发症、住院时间。结果两镜联合胆总管探查术术中出血量为(95±15)m L、术后胃肠功能恢复时间(18±10)h、术后72 h伤口疼痛率为10%、术后并发症发生率7.2%、住院时间(8±2)d,均显著优于传统开腹手术组,差异具有统计学意义(P<0.05)。结论两镜联合胆总管探查术具有术中出血少、术后肠功能恢复早、住院时间短等特点,具有广阔发展空间,将逐渐取代传统开腹手术。Objective Compare the effect of two lens combined bile duct exploration and traditional operation.Methods Retrospective analysis of clinical data of 138 patients with common bile duct calculi from our hospital between January2009 and January 2014,and they were all treated with laparoscopy combined choledochofiberscopy.Compared the surgery situation of laparoscopy combined choledochofiberscopy with traditional operation（ 138 cases）,including intraoperative bleeding,time of postoperative bowel function recovery,wound pain rate of 72 hours of postoperative,the postoperative complications and hospitalization.Results The intraoperative bleeding,time of postoperative bowel function recovery,wound pain rate of 72 hours of postoperative,the postoperative complications and hospitalization of laparoscopy combined choledochofiberscopy were（95±15）ml,（18±10）h,10%,7.2% and（8±2）d,all significantly superior to the traditional laparotomy,the difference is statistically significant（P〈0.05）.Conclusion Two lens combined bile duct exploration had the advantages of less intraoperative bleeding,early postoperative bowel function recovery,shorter hospitalization time,and also had a broad development space,will gradually replace the traditional open operation.

关 键 词：腹腔镜 胆道镜 胆总管探查术 开腹手术 

分 类 号：R65[医药卫生—外科学]