腹腔镜结合胆道镜胆总管探查取石术治疗肝外胆管结石实施胆总管Ⅰ期缝合的疗效分析  

Laparoscopic Bile Biliary Chief Tube Detecting the Efficacy Analysis of Stitching of Stagnation of Stagnation of Outer and Extractive Bile Ducts of The Liver

作　　者：王雪飞 高海波 王丹玲 WANG Xuefei;GAO Haibo;WANG Danling(Huai'an Hospital/Huai'an Cancer Hospital,Huai'an City,Huai'an,Jiangsu 223200)

机构地区：[1]淮安市淮安医院/淮安市肿瘤医院,江苏淮安223200

出　　处：《智慧健康》2025年第5期71-74,共4页Smart Healthcare

摘　　要：目的 探讨腹腔镜结合胆道镜胆总管探查取石术治疗肝外胆管结石实施胆总管Ⅰ期缝合的疗效。方法 选取2022年1月—2024年1月本院收治的68例肝外胆结石患者为研究对象,均行腹腔镜+胆道镜胆总管探查取石术,并随机分成对照组和观察组,每组34例患者,其中,观察组行胆总管Ⅰ期缝合,对照组行T管引流。对比两组的治疗效果。结果 术后,观察组治疗效果高于对照组,手术指标优于对照组,IL-1、IL-6、CRP、WBC、并发症总发生率低于对照组(P<0.05)。结论 对肝外胆管结石患者,采用腹腔镜结合胆道镜进行胆总管探查及取石,并实施胆总管Ⅰ期缝合,可提高治疗效果,缩短病程,抑制术后炎症反应,减少并发症。Objective To explore the efficacy of stagnation of laparoscopic biliary biliary chief tube to detect stones in the hepatoplasia bile ducts.Methods Select 68 patients with extra liver gallstones from January 2022 to January 2024,all of which are performed by laparoscopy+biliary mirror bilemagen tube to detect stone surgery,random grouping,34 cases of observation group stitching in the observation group,34 in the control group 34 Routine T tube drainage.Compare the effects of the two groups.Results After surgery,the treatment group was higher than the control group.The surgical indicators were better than the control group.The total incidence of IL-1,IL-6,CRP,WBC,and complications was lower than the control group (P<0.05).Conclusion For patients with extractive cholecotus ducts,laparoscopic biliary mirrors are used to detect and take stones with biliary mirrors,and the staged stitching of the biliary pipe can be implemented,which can improve the treatment effect,shorten the course of disease,inhibit the inflammatory response after surgery,and reduce complications.

关 键 词：腹腔镜 胆道镜 胆总管探查 取石术 肝外胆管结石 胆总管Ⅰ期缝合 

分 类 号：R657.4[医药卫生—外科学]