评价腹腔镜联合胆道镜对比开腹手术治疗复发性胆总管结石后取得的效果  

Evaluation of the Effects Achieved after Laparoscopy Combined Choledo⁃choscopy Versus Open Section Surgery for the Treatment of Recurrent Common Bile Duct Stones

作　　者：刘艳国 贺书杰[1] LIU Yanguo;HE Shujie(Department of Hepatobiliary and Pancreatic Surgery,Yantai Yantaishan Hospital,Yantai,Shandong Province,264003 China)

机构地区：[1]烟台市烟台山医院肝胆胰外科,山东烟台264003

出　　处：《系统医学》2023年第21期123-126,共4页Systems Medicine

摘　　要：目的分析复发性胆总管结石患者应用腹腔镜联合胆道镜、开腹手术治疗的效果。方法选取2022年4月—2023年4月烟台市烟台山医院收治的复发性胆总管结石患者62例,以随机数表法分为两组,参照组(31例)采取开腹手术治疗,研究组(31例)采取腹腔镜联合胆道镜治疗,对比两组疗效。结果研究组术中出血量低于参照组,研究组下床活动时间、肛门排气时间、住院时间短于参照组,差异有统计学意义(P<0.05)。术后,研究组血清D-乳酸、内毒素低于参照组,差异有统计学意义(P<0.05)。术后,研究组皮质醇、血管紧张素Ⅱ、去甲肾上腺素低于参照组,差异有统计学意义(P<0.05)。研究组并发症发生率为6.45%,低于参照组的25.81%,差异有统计学意义(χ^(2)=4.292,P<0.05)。结论复发性胆总管结石患者应用腹腔镜联合胆道镜治疗效果好,可以降低并发症发生率。Objective To analyze the effects of the application of laparoscopy combined with choledochoscopy and open section surgery for the treatment of the patients with recurrent common bile duct stones.Methods 62 patients with recurrent common bile duct stones admitted to Yantai Yantaishan Hospital from April 2022 to April 2023 were selected and divided into two groups by random number table method.The reference group(31 cases)was treated with open section surgery,and the study group(31 cases)was treated with laparoscopy combined with choledochoscopy,and the efficacy of the two groups was compared.Results Intraoperative bleeding in the study group was lower than that in the reference group,and the time to get out of bed,exhaustion time,and hospitalization time in the study group were shorter than those in the reference group,and the differences were statistically significant(P<0.05).After sur‐gery,serum D-lactic acid and endotoxin in the study group were lower than those in the reference group,and the dif‐ferences were statistically significant(P<0.05).After surgery,angiotensinⅡ,and norepinephrine in the study group were lower than those in the reference group,and the differences were statistically significant(P<0.05).The complica‐tion rate of the study group was 6.45%,which was lower than 25.81%in the reference group,and the difference was statistically significant(χ^(2)=4.292,P<0.05).Conclusion The application of laparoscopy combined with choledochos‐copy in patients with recurrent common bile duct stones is effective and can reduce complications.

关 键 词：复发性胆总管结石 腹腔镜联合胆道镜 开腹手术 

分 类 号：R4[医药卫生—临床医学]