两种微创术式治疗胆囊结石合并胆总管结石的效果比较  

Comparison of the Effects of Two Minimally Invasive Surgical Procedures on Gallstones and Common Bile Duct Stones

作　　者：冉隆剑 RAN Long-jian(Department of Hepatobiliary Surgery,Liangping District Traditional Chinese Medicine Hospital,Chongqing,405200 China)

机构地区：[1]重庆市梁平区中医医院肝胆外科,重庆405200

出　　处：《系统医学》2020年第10期98-100,共3页Systems Medicine

摘　　要：目的胆囊结石合并胆总管结石患者分别通过LC与EST和LC与LCBDE进行治疗,对患者的治疗效果进行评价,从而分析两种手术方法的优缺点。方法从该院在2016年7月—2019年7月间,收治的胆囊结石合并胆总管结石患者中随机抽取60例患者,根据随机分组的方法进行分组,每组30例患者,分别分成观察组和对照组,对两组患者的手术指标(包括:手术时间、术中出血量、住院时间)以及结石的清除有效率进行比较,从而评价LCBDE与EST术的优良之处。结果观察组患者的手术时间、术中出血量以及住院时间分别为(93.64±14.06)min、(155.82±15.72)mL、(9.16±2.51)d,对照组患者的手术时间、术中出血量以及住院时间分别为(205.49±12.82)min、(45.72±8.76)mL、(15.76±5.62)d,观察组患者的术中出血量高于对照组患者,其他两项指标均优良于对照组(t=6.725、6.829、6.735,P<0.05);观察组患者的结石清除有效率为93.3%(28/30),对照组患者的结石清除有效率为76.7%(23/30),组间比较差异有统计学意义(χ^2=15.825,P<0.05)。结论通过LC与LCBDE术进行治疗胆囊结石合并胆总管结石患者,除了术中出血量较多,其他手术指标均优良。Objective Patients with gallbladder stones and common bile duct stones were treated with LC and EST and LC and LCBDE, respectively, and the treatment effect of the patients was evaluated to analyze the advantages and disadvantages of the two surgical methods. Methods From July 2016 to July 2019, 60 patients with gallbladder stones combined with common bile duct stones were randomly selected from the hospital and grouped according to the random grouping method. Each group consisted of 30 patients. The patients were divided into observation group and control group, and the surgical indexes(including operation time, intraoperative blood loss, length of hospital stay) and stone removal efficiency were compared between the two groups, so as to evaluate the advantages of LCBDE and EST.Results The operation time, intraoperative blood loss, and hospital stay of the observation group were(93.64±14.06) min,(155.82±15.72) mL, and(9.16±2.51) d. The operation time and intraoperative bleeding amount and length of hospital stay of the control group were(205.49±12.82) min,(45.72±8.76) mL, and(15.76±5.62) d. The intraoperative blood loss in the observation group was higher than that in the control group, and the other two indicators were better than the control(t=6.725, 6.829, 6.735,P<0.05).;the effective rate of stone removal in the observation group was 93.3%(28/30),control The effective rate of stone removal in the group was 76.7%(23/30). After comparison between the groups, the difference was statistically significant(χ^2=15.825,P <0.05). Conclusion LC and LCBDE surgery for patients with gallbladder stones combined with common bile duct stones, in addition to a large amount of bleeding during the operation, other surgical indicators are excellent.

关 键 词：微创手术 EST术 LCBDE术 胆囊结石 胆总管结石 

分 类 号：R6[医药卫生—外科学]