腹腔镜与传统开腹胆总管切开取石的疗效比较  

The clinical effect between Laparoscopic and Traditional open surgery in treatment of common bile duct stones

作　　者：王春林[1] 蒋涛[1] 朱芸榭 Wang Chun-lin;Jiang Tao;Zhu Yun-xie(Guizhou provincial people’s hospital Hepatobiliary surgery, Guiyang, Guizhou, 550002, China)

机构地区：[1]贵州省人民医院肝胆外科,贵州贵阳550002

出　　处：《当代医学》2017年第35期20-22,共3页Contemporary Medicine

摘　　要：目的比较腹腔镜下胆总管切开取石术与开腹胆总管切开取石术的临床疗效。方法回顾性分析144例胆总管结石患者临床资料。腹腔镜组99例,开腹组45例,对比两组患者术前、术中、术后情况。结果两组患者内科疾病、术中出血、术后肠功能恢复时间、术后住院日、术后并发症、术后白细胞及转氨酶升降比较差异有统计学意义(P<0.05)。结论腹腔镜胆总管切开取石术在患者内科疾病较多的情况下疗效仍显著于开腹手术。Objective To compare the clinical efficacy of laparoscopic exploration of the common bile duct stones between open surgery in treatment of common bile duct stones.Methods Retrospectively analyzed144cases of common bile duct stones patients with the laparoscopic group(99cases)and the open surgery group(45cases)of patients before,during and after the operation.Results Two groups of patients medical diseases,intraoperative bleeding and postoperative recovery of intestinal function and postoperative hospital stay,postoperative complications,postoperative leukocytes and transaminase lift was statistically significant.Conclusion The clinical efficacy of Laparoscopic exploration of the common bile duct stones better than open surgery in the patients with more medical diseases.

关 键 词：腹腔镜 开腹 胆总管结石 临床疗效 

分 类 号：R657.42[医药卫生—外科学]