腹腔镜肝叶切除联合胆道镜治疗肝内胆管结石的临床研究  

The Clinical Research of Treatment Hepatolith by Laparoscope Hepatic Lobectomy Compared with Choledochoscope

作　　者：张子光[1] 汤和林 

机构地区：[1]资中县人民医院外二科,四川内江641200

出　　处：《中国医药指南》2017年第1期2-3,共2页Guide of China Medicine

摘　　要：目的探讨腹腔镜肝叶切除联合胆道镜治疗肝内胆管结石的临床效果情况。方法分析我院外二科2011年1月至2016年1月收治的82例肝内胆管结石患者临床资料,依据治疗措施不同进行分组,对照组30例和观察组52例。观察两组肝内胆管结石患者手术时间、术中出血量、肛门排气时间、住院天数、术后残石率和复发率情况。结果观察组肝内胆管结石患者手术时间、术中出血量、肛门排气时间、住院天数、术后残石率和复发率均低于对照组,P<0.05,差异均有统计学意义。结论腹腔镜肝叶切除联合胆道镜治疗肝内胆管结石的临床效果明显,创伤小,恢复快,值得临床推广应用。Objective To approach clinical result of treatment hepatolith by laparoscope hepatic lobectomy compared with choledochoscope. Method The 82 cases clinical data of hepatolith by laparoscope hepatic lobectomy compared with choledochoscope in our hospital hepatic surgery from January 2011 to January 2016 were analyzed, which was to be divided into two groups by different treatment methods, control group 30 cases and detection group 52 cases. The operation time, amount of bleeding during operation, passage of gas by anus, HOD, postoperative residual stone rate, recurrence rate of two groups hepatolith patients were detected. Result The operation time, amount of bleeding during operation, passage of gas by anus, HOD, postoperative residual stone rate, recurrence rate of detection group were lower than control group, P〈0.05, the difference were statistical significance. Conclusion The clinical result of treatment hepatolith by laparoscope hepatic lobectomy compared with choledochoscope is obviously, injury is little, recovery is quick, it is worth to be used.

关 键 词：腹腔镜 肝叶切除 胆道镜 肝内胆管结石 

分 类 号：R575.62[医药卫生—消化系统]