EST术后LC治疗老年胆囊结石伴胆总管结石的临床观察  

Clinical observation on the treatment of senile cholecystolithiasis with choledocholithiasis by LC after EST

作　　者：陶锐 TAO Rui(Department of Hepatobiliary Surgery,Bishan People's Hospital,Chongqing,Chongqing 402760,China)

机构地区：[1]重庆市璧山区人民医院肝胆外科

出　　处：《临床医药文献电子杂志》2019年第56期1-1,3,共2页Electronic Journal of Clinical Medical Literature

摘　　要：目的针对老年胆囊结石伴胆总管结石患者,探究EST术后应用LC治疗的效果。方法采用随机数字法将80例患者分为两组,每组有40例患者。针对对照组采取传统开腹手术治疗,针对实验组采取EST联合LC进行治疗,对比两组患者的治疗效果以及并发症情况。结果实验组的术中出血量为26.81±10.09ml,住院时间为6.57±1.69d,对照组术中出血量为57.70±12.32ml,住院时间为10.45±2.11d,对比存在较大差异(P<0.05);实验组中有3例患者产生并发症,对照组中有9例患者产生并发症,存在较大差异(P<0.05)。结论针对老年胆囊结石伴胆总管结石患者,在EST术后实施LC治疗能够减少术中输血量,缩短住院时间,降低并发症发生率,值得临床大力推广。Objective To explore the effect of LC after EST for elderly patients with cholecystolithiasis and common bile duct stones.Methods 80 patients were divided into two groups by random number method,40 patients in each group.Traditional laparotomy was used in the control group and EST combined with LC was used in the experimental group.The therapeutic effect and complications of the two groups were compared.Results The intraoperative bleeding volume in the experimental group was 26.81+10.09ml,the hospital stay was 6.57+1.69d,the intraoperative bleeding volume in the control group was 57.70+12.32ml and the hospital stay was 10.45+2.11d with significant difference (P<0.05);there were 3 complications in the experimental group and 9 complications in the control group (P<0.05).Conclusion LC treatment after EST can reduce blood transfusion,shorten hospital stay and reduce the incidence of complications in elderly patients with cholecystolithiasis and choledocholithiasis,which is worthy of clinical promotion.

关 键 词：ESTLC 老年胆囊结石 胆总管结石 

分 类 号：R657.42[医药卫生—外科学]