胆囊并胆总管结石两种术式的临床疗效分析  

Clinical efficacy and safety of two kinds of surgical methods in the treatment of gallbladder stones combined with common bile duct stones

作　　者：黎万里 郑勇[1] 

机构地区：[1]四川省阆中市人民医院肝胆外科,637400

出　　处：《中华普外科手术学杂志（电子版）》2017年第5期426-428,共3页Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)

摘　　要：目的研究两种不同外科手术方法治疗胆囊合并胆总管结石的临床疗效与安全性。方法选取2015年1月至2016年2月收治的胆囊并胆总管结石的患者156例,随机分为内镜组(78例)和开腹组(78例),内镜组行微创内镜手术治疗,开腹组行传统开腹手术治疗,应用SPSS 20.0统计学软件进行统计学处理,术中、术后计量资料用均数±标准差表示,组间比较采用独立t检验;并发症发生率采用卡方检验。P<0.05表示差异具有统计学意义。结果内镜组与开腹组相比:术中出血量、手术时间、腹腔引流时间、胃肠道功能恢复时间、住院时间等均显著低于开腹组,差异有统计学意义(均P<0.05);腔镜组手术并发症的发生率为6.4%,开腹组手术并发症的发生率为16.7%,差异有统计学意义(χ2=4.019,P=0.045)。结论微创腔镜手术治疗胆囊并胆总管结石的临床疗效较好,具有手术时间短、术中出血少、住院时间短、病情恢复快,并发症低等特点,充分体现出了微创腔镜手术的优势。Objective To investigate the clinical efficacy and safety of two kinds of surgical methods in the treatment of gallbladder stones combined with common bile duct stones . Methods 156 patients with gallbladder stones combined with common bile duct stones were collected from January 2015 to February 2016 in our hospital general surgery department , and were randomly divided into laparoscopic group （78 cases） and open group （78 cases）, the laparoscopic group was given minimally invasive laparoscopic operation surgery, the open group was given traditional open surgery .Statistical analysis were performed by using SPSS 20.0 software, intraoperative and postoperative data were presented as and examined by using t test;the incidence of complication was examined by chi square test .A P value of 〈0.05 was considered as significant difference. Results The blood loss of the operation, time of operation, abdominal cavity drainage time, time of resumption of gastrointestinal function and hospitalization time in the laparoscopic group were significantly lower than in the open group （P 〈0.05）;The incidence of operative complications of the laparoscopic group was 6.4%, the incidence of operative complications of the open group was 16.7%, there was a statistical significance （ χ2 =4.019, P =0.045 ）. Conclusion Minimally invasive laparoscopic surgery in the treatment of gallbladder stones combined with common bile duct stones has better clinical efficacy, with shorter operation time, less bleeding, shorter hospitalization time, rapid resumption of the disease and low complication .

关 键 词：胆囊结石病 胆总管结石 腹腔镜检查 剖腹术 

分 类 号：R657.42[医药卫生—外科学]