腹腔镜下胆总管切开治疗胆总管结石效果  

Effect of Laparoscopic Choledocholithotomy for Choledocholithiasis

作　　者：张洪均 许留忠 张逖 ZHANG Hongjun;XU Liuzhong;ZHANG Ti(Nantong First Geriatric Hospital(Nantong Sixth People's Hospital)General Surgery,Nantong,Jiangsu 226011,China;Department of Hepatobiliary Surgery,Shanghai 10th People's Hospital,Shanghai 200072,China)

机构地区：[1]南通市第一老年病医院(南通市第六人民医院)普外科,江苏南通226011 [2]上海第十人民医院肝胆外科,上海200072

出　　处：《大医生》2019年第10期34-35,共2页Doctor

摘　　要：目的观察胆总管结石患者接受腹腔镜下胆总管切开治疗的效果。方法选取2015年2月至2018年2月南通市第一老年病医院收治的28例胆总管结石患者,按照分段随机化法分为两组,每组14例,其中对照组实施开腹胆总管切开治疗,实验组则实施腹腔镜下胆总管切开治疗。分析两组胆总管结石患者治疗的结果。结果实验组切口长度、手术出血量、手术用时、术后排气时间、下床活动时间、住院时间、并发症发生率均低于对照组,其结石清除率高于对照组(P<0.05)。结论胆总管结石患者接受腹腔镜下胆总管切开治疗,可取得较好的效果。Objective To explore the effect of laparoscopic choledocholithotomy for common bile duct stones.Methods From February 2015 to February 2018,28 patients with choledocholithiasis were divided into two groups according to the method of segmental randomization,14 cases in each group,and the control group was treated with open choledocholithotomy.In the experimental group,laparoscopic choledocholithotomy was performed.The treatment Results of two groups of patients with choledocholithiasis were analyzed.Results The incision length,bleeding volume,operation time,exhaust time,time to get out of bed,hospital stay and complication rate of the experimental group were all lower than those of the control group.The stone clearance rate of the experimental group was higher than that of the control group(P<0.05).Conclusion Laparoscopic choledochotomy for choledocholithiasis can achieve good results.

关 键 词：腹腔镜 胆总管切开术 胆总管结石 

分 类 号：R65[医药卫生—外科学]