中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2010年
35期
17-19
,共3页
胆石%肝硬化%胆囊切除术,腹腔镜
膽石%肝硬化%膽囊切除術,腹腔鏡
담석%간경화%담낭절제술,복강경
Gallstones%Liver cirrhosis%Cholecystectomy,laparoscopic
目的 探讨胆石症合并肝硬化患者行腹腔镜胆囊切除术(LC)的疗效.方法 回顾性分析50例胆石症合并肝硬化患者的临床资料,分别进行LC(LC组,23例)或开腹胆囊切除术(OC组,27例),比较两组患者的手术时间、术中出血量、住院时间和并发症发生情况.结果 LC组手术时间[(43.2±15.6)min]、术中出血量[(78.3±22.5)ml]和住院时间[(5.7±2.5)d]均明显优于对照组[分别为(77.4±21.2)min、(195.7±32.4)ml、(93±3.2)d],差异有统计学意义(P＜0.05);两组术后并发症主要为脱水和尿路感染,但发生率组间比较差异无统计学意义(P＞0.05).两组术后均无其他严重并发症和死亡病例出现.结论 对于Child-Pugh A、B级的胆石症合并肝硬化患者而言,LC是一种安全可行的微创手术,值得临床推广应用.
目的 探討膽石癥閤併肝硬化患者行腹腔鏡膽囊切除術(LC)的療效.方法 迴顧性分析50例膽石癥閤併肝硬化患者的臨床資料,分彆進行LC(LC組,23例)或開腹膽囊切除術(OC組,27例),比較兩組患者的手術時間、術中齣血量、住院時間和併髮癥髮生情況.結果 LC組手術時間[(43.2±15.6)min]、術中齣血量[(78.3±22.5)ml]和住院時間[(5.7±2.5)d]均明顯優于對照組[分彆為(77.4±21.2)min、(195.7±32.4)ml、(93±3.2)d],差異有統計學意義(P＜0.05);兩組術後併髮癥主要為脫水和尿路感染,但髮生率組間比較差異無統計學意義(P＞0.05).兩組術後均無其他嚴重併髮癥和死亡病例齣現.結論 對于Child-Pugh A、B級的膽石癥閤併肝硬化患者而言,LC是一種安全可行的微創手術,值得臨床推廣應用.
목적 탐토담석증합병간경화환자행복강경담낭절제술(LC)적료효.방법 회고성분석50례담석증합병간경화환자적림상자료,분별진행LC(LC조,23례)혹개복담낭절제술(OC조,27례),비교량조환자적수술시간、술중출혈량、주원시간화병발증발생정황.결과 LC조수술시간[(43.2±15.6)min]、술중출혈량[(78.3±22.5)ml]화주원시간[(5.7±2.5)d]균명현우우대조조[분별위(77.4±21.2)min、(195.7±32.4)ml、(93±3.2)d],차이유통계학의의(P＜0.05);량조술후병발증주요위탈수화뇨로감염,단발생솔조간비교차이무통계학의의(P＞0.05).량조술후균무기타엄중병발증화사망병례출현.결론 대우Child-Pugh A、B급적담석증합병간경화환자이언,LC시일충안전가행적미창수술,치득림상추엄응용.
Objective To investigate the efficacy of laparoscopic cholecystectomy (LC) for the treatment of patients with cholelithiasis complicating liver cirrhosis. Methods The clinical data of 50 patients with cholelithiasis complicating liver cirrhosis were analyzed retrospectively, who received LC (LC group,23 cases) or open cholecysteetomy (OC group,27 cases). Summarized and compared with operation time, blood loss,length of stay and complications of two groups. Results Operation time,blood loss and length of stay in LC group [(43.2 ± 15.6) min, ( 78.3 ± 22.5 ) ml, (5.7 ± 2.5 ) d] were significantly less than those in control group [(77.4 ±21.2) min, (195.7 ±32.4) ml, (9.3 ±3.2) d.], the differences were statistically significant (P ＜ 0.05). The mainly post-operative complications were dehydration and urinary tract infection, but the incidence rate had no statistically significant difference between two groups (P ＞ 0.05 ).There was no other severe complications and death case occurred postoperation in two groups. Conclusion For patients with cholelithiasis complicating liver cirrhosis in Child-Pugh A and B class, LC is a safe and feasible minimally invasive surgery, it is worthy to be popularized.
