双镜联合胆管一期缝合与开腹T型管引流治疗胆石症临床比较  

Clinical comparison of laparoscopic common bile duct exploration and primary suture and open choledochotomy T-tube drainage in therapy of gallbladder and common bile duct stones

作　　者：李军彦[1] 赵守魁[1] 

机构地区：[1]河南省安阳地区医院普外一科,455000

出　　处：《中国实用医刊》2016年第18期38-40,共3页Chinese Journal of Practical Medicine

摘　　要：目的 比较腹腔镜下胆囊切除联合胆道镜行胆总管切开取石、胆管一期缝合术（LBEPS）与传统开腹胆囊切除、胆总管切开取石T型管引流术（OCTD）治疗胆囊结石并胆总管结石的临床效果.方法 选取2009年3月至2013年4月138例胆囊结石并胆总管结石患者,66例行LBEPS治疗（LBEPS组）,72例行OCTD治疗（OCTD组）.比较两组患者术前基本资料,术后并发症、首次排气时间、补液总量、住院时间等.结果 两组患者术前基本资料比较,差异未见统计学意义（P＞0.05）,术后并发症、首次排气时间、补液总量、住院时间比较,差异有统计学意义（P＜0.05）.两组患者手术时间、术中出血量、术后花费比较,差异未见统计学意义（P＞0.05）.结论 LBEPS可缩短患者住院时间,减少术后补液总量,提前术后首次排气时间,减少并发症.Objective To compare the efficacy of laparoscopic common bile duct exploration and primary suture （LBEPS） and open choledochotomy T-tube drainage （OCTD） on gallbladder and common bile duct stones.Methods A total of 138 patients with gallbladder and common bile duct stones from March 2009 to April 2013 were selected,66 cases were treated by LBEPS （LBEPS group） and 72 cases by OCTD （OCTD group）.The preoperative basic data,postoperative complications,postoperative first exhaust time,postoperative transfusion,postoperative hospitalization time and cost of hospitalization were compared between the two groups.Results The preoperative basic data had no significant difference between the two groups （P 〉 0.05）.The complications after surgery,postoperative exhaust time,postoperative need replenishment amount,the time in hospital were significant different between the two groups （P 〈 0.05）.The operation time,intraoperative blood loss and hospitalization costs had no significant difference between the two groups （P 〉 0.05）.Conclusions LBEPS can shorten hospitalization time,reduce the amount of fluid after surgery,shorten the first exhausting time after operation and reduce complications.

关 键 词：胆囊结石并胆总管结石 腹腔镜联合胆道镜胆总管一期缝合 胆囊切除 胆总管切开取石T型管引流 

分 类 号：R657.42[医药卫生—外科学]