腹腔镜下胆总管切开取石术一期缝合治疗继发性胆总管结石的临床疗效分析  

Analysis of Clinical Effect of Laparoscopic Choledocholithotomy and Primary Suture in Treatment of Secondary Choledocholithiasis

作　　者：王加亮 朱晶 王源荣 吕进 WANG Jia-liang;ZHU Jing;WANG Yuan-rong;LV Jin(Department of General Surgery,Dafeng People’s Hospital,Yancheng City,Jiangsu Yancheng 224100;Operation Room,Dafeng People’s Hospital,Yancheng City,Jiangsu Yancheng 224100;Department of General Surgery,Affiliated Hospital of Nantong University,Jiangsu Nantong 226000)

机构地区：[1]盐城市大丰人民医院普外科,江苏盐城224100 [2]盐城市大丰人民医院手术室,江苏盐城224100 [3]南通大学附属医院普外科,江苏南通226000

出　　处：《中国医疗器械信息》2021年第16期46-48,共3页China Medical Device Information

基　　金：江苏省盐城市大丰区本级科技计划项目(项目名称:腹腔镜下胆囊切除、胆总管探查、一期缝合术治疗继发性胆总管结石疗效研究,项目编号:DFJH201926)。

摘　　要：目的:探究分析腹腔镜下胆总管切开取石术一期缝合治疗继发性胆总管结石的临床疗效。方法:将本院于2019年7月~2020年2月收治的30例继发性胆总管结石患者纳入本组研究,将其随机分为两组,行不同治疗方式分组探讨。对照组(18例)采取T管引流治疗,观察组(12例)采取腹腔镜下胆总管切开取石术一期缝合治疗。对比两种不同治疗方式对应患者的临床疗效。结果:(1)观察组的取石成功率高于对照组;(2)观察组的各项手术指标优于对照组。以上数据经SPSS22.0统计学软件分析对比(P<0.05);(3)两组患者的术后并发症对比差异小(P>0.05)。结论:腹腔镜下胆总管切开取石术一期缝合治疗继发性胆总管结石效果显著,手术指标更优,经鉴定是一种安全实用价值高的胆总管临床治疗方式。Objective:To explore and analyze the clinical effect of laparoscopic choledocholithotomy and primary suture in treatment of secondary choledocholithiasis.Methods:30 cases of patients with secondary choledocholithiasis and who treated in our hospital from July 2019 to February 2020 were included in this study,and the patients were randomly divided into two groups,and treated with different treatment.The control group(18 cases)were treated with drainage tube,and the observation group(12 cases)were treated with laparoscopic choledocholithotomy and primary suture.Then,the clinical effect of two different treatment methods were compared.Results:(1)The success rate in the observation group was higher than that in the control group;(2)The operation indexes in the observation group were better than those in the control group,and the above data were analyzed and compared by SPSS22.0 statistical software(P<0.05);(3)There was little difference in postoperative complications between the two groups(P>0.05).Conclusion:The effects of laparoscopic choledocholithotomy and primary suture in treatment of secondary choledocholithiasis are significant which it is a safe and practical clinical treatment for common bile duct.

关 键 词：继发性胆总管结石 腹腔镜 胆总管切开取石术 临床疗效 

分 类 号：R657.42[医药卫生—外科学]