腹腔镜下肝部分切除术治疗肝内胆管结石效果分析  

Study of the Effects of Laparoscopic Partial Hepatectomy in Treatment of Intrahepatic Bile Duct Stones

作　　者：游锦华[1] 袁波[1] 廖锦岐[1] 段进东[1] 廖方[1] 邱金伦 YOU Jin-hua;YUAN Bo;LIAO Jin-qi;DUAN Jin-dong;LIAO Fang;QIU Jin-lun(The First People＇s Hospital of Huizhou, Guangdong Huizhou 516003)

机构地区：[1]惠州市第一人民医院,广东惠州516003

出　　处：《深圳中西医结合杂志》2018年第7期22-23,共2页Shenzhen Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的:分析腹腔镜下肝部分切除术对肝内胆管结石的临床效果。方法:选取惠州市第一人民医院2013年1月至2017年12月诊断的肝内胆管结石患者67例,将其分为观察组(n=29)和对照组(n=38),对照组采用传统开腹手术的治疗方案,观察组采用腹腔镜下肝部分切除术的方案,观察并记录两组患者的住院及术后并发症的相关指标。结果:观察组患者手术时间、术中出血量、肛门排气时间及下床活动时间等均明显小于对照组,且差异有统计学意义(P<0.05);观察组并发症的发生率要小于对照组,但差异无统计学意义(P>0.05)。结论:腹腔镜下肝部分切除术对肝内胆管结石疗效确切。Objective To investigate the clinical efficacy of laparoscopic partial hepatectomy in treating intrahepatic bile duct stones. Methods Sixty-seven cases of intrahepatic stones treated in the first people＇s hospital of huizhou from January 2013 to December 2017 were retrospectively analyzed,and they were divided into the control group（n = 29） or the experimental group（n = 38）. Patients in the control group were given open partial hepatectomy, while patients in the experimental group were given laparoscopic partial hepatectomy. The operation time,time of passage of gas, off-bed activity time, bleeding volume and complications were compared between the two groups. Results The operation time,time of passage of gas, off-bed activity time and bleeding volume of the experimental group were significantly shorter than those of the control group, and difference was statistically significant（P〈0.05）. The incidence rate of complications of the experimental group was slightly lower than the other group（P〈0.05）.Conclusion Laparoscopic partial hepatectomy is effective for intrahepatic bile duct stones.

关 键 词：腹腔镜 肝内胆管结石 肝部分切除术 

分 类 号：R656[医药卫生—外科学]