腹腔镜胆总管探查术在有上腹部手术史的胆总管结石患者中的应用效果  

Application effect of laparoscopic common bile duct exploration in choledocholithiasis patients with a history of upper abdominal surgery

作　　者：钱长春 QIAN Chang-chun(General Surgery Department,Yancheng No.1 People's Hospital,Yancheng 224000,China)

机构地区：[1]江苏省盐城市第一人民医院普通外科,江苏盐城224000

出　　处：《临床医学研究与实践》2020年第6期77-78,共2页Clinical Research and Practice

摘　　要：目的研究腹腔镜胆总管探查术在有上腹部手术史的胆总管结石患者中的应用效果。方法选择2016年1月至2017年12月我院接收的50例具有上腹部手术史的胆总管结石患者为观察组,择取同期的50例无上腹部手术史的胆总管结石患者为对照组,两组均采用腹腔镜胆总管探查术。比较两组的临床疗效及并发症发生情况。结果观察组的临床治疗总有效率显著高于对照组(P<0.05)。两组患者的并发症总发生率无显著差异(P>0.05)。结论腹腔镜胆总管探查术治疗有上腹部手术史的胆总管结石患者,能提高整体疗效,具有较高的安全性及可行性。Objective To study the application effect of laparoscopic common bile duct exploration in choledocholithiasis patients with a history of upper abdominal surgery.Methods From January 2016 to December 2017,50 choledocholithiasis patients with a history of upper abdominal surgery received in our hospital were selected as observation group,and 50 choledocholithiasis patients without a history of upper abdominal surgery at the same period were selected as control group.Laparoscopic common bile duct exploration was performed in both groups.The clinical efficacy and complications of the two groups were compared.Results The total effective rate of clinical treatment in the observation group was significantly higher than that in the control group(P<0.05).There was no significant difference in the total incidence of complication between the two groups(P>0.05).Conclusion Laparoscopic common bile duct exploration can improve the overall efficacy of choledocholithiasis patients with a history of upper abdominal surgery,which has higher safety and feasibility.

关 键 词：上腹部手术史 腹腔镜胆总管探查术 胆总管结石 

分 类 号：R657.42[医药卫生—外科学]