中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2011年
11期
1486-1487
,共2页
外科手术,微创性%胆总管结石%内窥镜检查,消化系统%腹腔镜检查
外科手術,微創性%膽總管結石%內窺鏡檢查,消化繫統%腹腔鏡檢查
외과수술,미창성%담총관결석%내규경검사,소화계통%복강경검사
Surgical procedures,minimally invasive%Cholecystolithiasis%Endoscopy,digestive%Laparoscopy
目的 观察十二指肠镜联合腹腔镜治疗胆总管结石的临床效果.方法 245例胆总管结石患者按人院先后顺序随机分为观察组138例和对照组107例,观察组采用十二指肠镜联合腹腔镜治疗,对照组采用开腹手术治疗,观察比较两组治愈率、住院时间、治疗费用及术后并发症发生情况.结果 观察组治愈率97.83%、术后并发症发生率5.19%、平均住院时间(7.5±2.1)d、平均治疗费用(8 134±1 676)元,对照组分别为92.52%、17.76%、(23.4±6.8)d、(1 4773±2 834)元,两组术后并发症发生率、住院时间及治疗费用差异均有统计学意义(x2=18.34、t=8.75、6.93,均P＜0.01);两组治愈率差异无统计学意义(P＞0.05).结论 采用十二指肠镜联合腹腔镜治疗胆总管结石术后并发症发生率低,住院时间短,并可降低治疗费用.
目的 觀察十二指腸鏡聯閤腹腔鏡治療膽總管結石的臨床效果.方法 245例膽總管結石患者按人院先後順序隨機分為觀察組138例和對照組107例,觀察組採用十二指腸鏡聯閤腹腔鏡治療,對照組採用開腹手術治療,觀察比較兩組治愈率、住院時間、治療費用及術後併髮癥髮生情況.結果 觀察組治愈率97.83%、術後併髮癥髮生率5.19%、平均住院時間(7.5±2.1)d、平均治療費用(8 134±1 676)元,對照組分彆為92.52%、17.76%、(23.4±6.8)d、(1 4773±2 834)元,兩組術後併髮癥髮生率、住院時間及治療費用差異均有統計學意義(x2=18.34、t=8.75、6.93,均P＜0.01);兩組治愈率差異無統計學意義(P＞0.05).結論 採用十二指腸鏡聯閤腹腔鏡治療膽總管結石術後併髮癥髮生率低,住院時間短,併可降低治療費用.
목적 관찰십이지장경연합복강경치료담총관결석적림상효과.방법 245례담총관결석환자안인원선후순서수궤분위관찰조138례화대조조107례,관찰조채용십이지장경연합복강경치료,대조조채용개복수술치료,관찰비교량조치유솔、주원시간、치료비용급술후병발증발생정황.결과 관찰조치유솔97.83%、술후병발증발생솔5.19%、평균주원시간(7.5±2.1)d、평균치료비용(8 134±1 676)원,대조조분별위92.52%、17.76%、(23.4±6.8)d、(1 4773±2 834)원,량조술후병발증발생솔、주원시간급치료비용차이균유통계학의의(x2=18.34、t=8.75、6.93,균P＜0.01);량조치유솔차이무통계학의의(P＞0.05).결론 채용십이지장경연합복강경치료담총관결석술후병발증발생솔저,주원시간단,병가강저치료비용.
Objective To study the effect of minimally invasive surgery for treatment of cholecystolithiasis together with common bile duet stones.Methods 245 patients suffered from common bile duct stones were admitted and received the therapeutical procedures.All patients were randomly divided into two groups.138 patients in the treatment group treated with minimally invasive surgery;107 patients in the control group treated with the traditional way of laparotomy.Results Compared with the control group,the treatment group showed high cure rate of 97.83%(P＞0.05),low complication rate of 5.19%,short hospital stays of(7.5±2.1)d,less cost of(8 134±1 676)CNY (x2=18.34,t=8.75,6.93,all P＜0.01).Conclusion Minimally invasive surgery had more advantages and wide application for both doctors and patients.
