腹腔镜中路纵剖法取石术治疗复杂性肝胆结石的效果及安全性分析  

Effect and Safety of Laparoscopic Mid-route Longitudinal Lithotomy in Treatment of Complex Hepatolithiasis

作　　者：刘星宝[1] LIU Xingbao(Shandong Feixian People's Hospital,Linyi,Shandong 273400,China)

机构地区：[1]山东费县人民医院,山东临沂273400

出　　处：《大医生》2019年第17期29-30,共2页Doctor

摘　　要：目的观察腹腔镜中路纵剖法取石术治疗复杂性肝胆结石的临床治疗效果。方法选取2018年6月至2019年6月山东费县人民医院收治的116例复杂性肝胆结石患者,依循简单随机法分为对照组和观察组,各58例。对照组采用传统腹腔镜治疗法,观察组采用腹腔镜中路纵剖法取石术治疗法,比较两组治疗结果。结果观察组术后排气时间及住院时间均低于对照组(P<0.05),观察组术后并发症发生率低于对照组(P<0.05),观察组临床治疗有效率高于对照组(P<0.05)。结论与传统腹腔镜手术治疗比较,腹腔镜中路纵剖法取石术治疗复杂性肝胆结石,可缩短患者的治疗时间,明显降低并发症发生率,临床治疗效果良好。Objective To observe the clinical effect of laparoscopic longitudinal lithotomy in the treatment of complex hepatolithiasis.Methods A total of 116 patients with complex hepatolithiasis admitted to Shandong Feixian People's Hospital from June 2018 to June 2019 were randomly divided into control group and observation group with 58 cases in each group.The control group was treated by traditional laparoscopy,while the observation group was treated by laparoscopic mid-route longitudinal dissection,and the treatment results were compared between the two groups.Results The exhaust time and hospitalization time in the observation group were lower than those in the control group(P<0.05),the incidence of complications in the observation group was lower than that in the control group(P<0.05),and the effective rate of clinical treatment in the observation group was higher than that in the control group(P<0.05).Conclusion Compared with the traditional laparoscopic operation,the longitudinal lithotomy in the middle of the laparoscope can shorten the treatment time,reduce the incidence of complications,and the clinical effect is good.

关 键 词：腹腔镜中路纵剖法取石术 复杂性肝胆结石 并发症 治疗效果 

分 类 号：R47[医药卫生—护理学]