肝硬化合并胆结石外科手术疗效研究  

作　　者：张斌[1] 苏松 

机构地区：[1]四川省乐山市井研县人民医院,四川乐山613100 [2]西南医科大学附属医院肝胆外科,四川泸州646000

出　　处：《中国药业》2020年第S01期90-91,共2页China Pharmaceuticals

摘　　要：目的分析肝硬化合并胆结石采用外科治疗的临床效果。方法回顾性分析84例肝硬化合并胆结石患者的临床资料,随机分为观察组与对照组,各42例。对照组应用传统开腹手术进行治疗,观察组采用腹腔镜手术进行治疗。结果观察组临床总有效率为92.86%,显著高于对照组的73.81%(χ2=12.342,P<0.01);观察组42例患者平均手术时间为(51.84±11.46)min,术中平均出血量为(88.35±11.26)mL,平均住院时间为(5.08±1.46)d,对照组平均手术时间为(106.47±10.45)min,术中平均出血量为(108.26±12.03)mL,平均住院时间为(14.26±2.18)d,两组比较差异有统计学意义(P<0.05)。结论针对肝硬化合并胆结石采用腹腔镜手术进行治疗可改善治疗效果。Objective To analyze the clinical effect of surgical treatment for liver cirrhosis complicated with gallstones.Methods The clinical data of 84 patients with liver cirrhosis complicated with gallstones were retrospectively analyzed and randomly divided into the observation group and the control group,42 cases in each group.The control group was treated with traditional open surgery,while the observation group was treated with laparoscopic surgery.Results The total effective rate of the observation group was 92.86%,which was significantly higher than 73.81%of the control group(χ2=12.342,P<0.05).The average operation time was(51.84±11.46)min,the average intraoperative blood loss was(88.35±11.26)mL and the average hospitalization time was(5.08±1.46)d in the observation group,while the average operation time was(106.47±10.45)min,the average intraoperative blood loss was(108.26±12.03)mL,and the average hospitalization time was(14.26±2.18)d in the control group,the difference was significant(P<0.05).Conclusion Laparoscopic surgery in the treatment of liver cirrhosis complicated with gallstones can improve the therapeutic effect.

关 键 词：肝硬化 胆结石 外科治疗 腹腔镜 

分 类 号：R735.7[医药卫生—肿瘤]