腹腔镜联合胆道镜与传统开腹手术治疗高龄胆道结石患者比较分析  

Clinical comparison of laparoscopy combined with choledochoscopy and traditional open surgery in the treatment of elderly patients with cholelithiasis

作　　者：吴友祥[1] 晏彬[1] 杨俊杰[1] 肖进[1] 

机构地区：[1]百色市人民医院肝胆胃肠外科,广西百色533000

出　　处：《华夏医学》2017年第3期13-15,共3页Acta Medicinae Sinica

摘　　要：目的:探讨腹腔镜联合胆道镜与传统开腹手术治疗高龄胆道结石患者的治疗效果。方法:选取62例高龄胆道结石患者根据术式分组,各31例。对照组行传统开腹手术,研究组经腹腔镜联合胆道镜实施手术。比较两组结石清除率、机体功能恢复及不良反应发生率。结果:两组结石清除率比较差异无统计学意义(P>0.05);研究组术后肠道功能恢复时间、肛门排气时间优于对照组,差异有统计学意义(P<0.05);研究组不良反应发生率3.23%,低于对照组29.07%,差异有统计学意义(P<0.05)。结论:腹腔镜联合胆道镜治疗高龄胆道结石术后机体功能恢复快,安全性高。Objective： To investigate clinical efficacy of laparoscopy combined with choledochoscopy and traditional open surgery in the treatment of elderly patients with cholelithiasis. Methods： 62 patients with elderly patients with cholelithiasis,according to the operation type,were divided into the control group（31）,treated by traditional open surgery and the study group（31）,treated by laparoscopy combined with choledochoscopy. The stone clearance rate,postoperative recovery of body function,adverse reactions rate of two groups were analyzed. Results： There was no significant difference between the two groups in the stone clearance rate（P〉0.05）. Postoperative intestinal function recovery time,anal exhaust time of study group were significantly better than those in the control group with the statistical difference（P〈0.05）. The adverse reaction rate of the study group（3. 23%） was significantly lower than that of the control group（29.07%） with the statistical difference（P〈0. 05）. Conclusion： Laparoscopy combined with choledochoscopy in treatment of elderly patients with biliary calculi has the rapid recover of body function and high safety

关 键 词：腹腔镜 胆道镜 开腹手术 高龄胆道结石患者 

分 类 号：R657.42[医药卫生—外科学]