胆道镜联合腹腔镜左肝叶切除治疗肝胆管结石的疗效分析  

Efficacy of Choledochoscope Combined With Laparoscopic Left Hepatic Lobectomy in Treatment Calculus of Bile Duct

作　　者：蒙炳杰[1] 

机构地区：[1]思南县人民医院普外科,贵州铜仁565100

出　　处：《中国卫生标准管理》2017年第1期32-34,共3页China Health Standard Management

摘　　要：目的探讨胆道镜联合腹腔镜左肝叶切除治疗胆管结石的临床疗效。方法选取思南县人民医院普外科2012年5月-2016年5月采用胆道镜联合腹腔镜左肝叶切除术治疗的40例胆管结石患者为观察组,选取同期收入的传统开腹手术的患者为对照组。比较两组的手术疗效。结果观察组的术中出血量少于对照组,术后疼痛评分低于对照组,并发症少于对照组,住院时间短于对照组,差异有统计学意义(P<0.05)。两组的手术时间、残余结石率差异无统计学意义(P>0.05)。结论胆道镜联合腹腔镜左肝叶切除治疗胆管结石的疗效满意,创伤小,术后疼痛轻,并发症少。Objective To investigate the clinical effect of choledochoscope combined with laparoscopic left hepatic lobectomy in the treatment of calculus of bile duct. Methods 40 cases of calculus of bile duct patients in department of general surgery from May 2015 to May 2016, choledochoscope combined with laparoscopic left hepatic lobectomy were the observation group, 40 another patients at the same period with traditional open surgery were the control group. The operation effect of the two groups was compared. Results The hemorrhage in the observation group was less than that in the control group, postoperative pain score was lower than that of in the control group, complications were less than those in the control group, the hospitalization time was shorter than that in the control group, the difference was statistically significant（P〈0.05）. The operation time and residual stone rate in the two groups were not statistically significant（P〈0.05）. Conclusion Choledochoscope combined with laparoscopic left hepatic lobectomy for the treatment of calculus of bile duct is satisfied with the curative effect, less trauma, less postoperative pain and complications.

关 键 词：胆道镜 腹腔镜 左肝叶切除 胆管结石 

分 类 号：R575[医药卫生—消化系统]