国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2012年
5期
628-630
,共3页
腹腔镜%胆总管%取石%T管引流%疗效
腹腔鏡%膽總管%取石%T管引流%療效
복강경%담총관%취석%T관인류%료효
Laparoscopy%Choledocholith%Lithotomy%T-tubedrainage%Efficacy
目的 探讨腹腔镜胆总管切开取石T管引流术的临床疗效.方法 选择2008年4月至2010年7月我院采用腹腔镜下行胆总管切开取石T管引流术治疗的32例胆囊结石并胆总管结石患者作为治疗组,选择同期进行开腹手术治疗的40例胆结石患者作为对照组,对两组患者的手术时间、住院时间以及术后并发症进行对比.结果 治疗组患者手术时间100～ 210 min,平均(139.2±31.5) min,术后第2天即能进食.住院天数3～6天,平均(4.1±0.6)天.治疗组的住院时间显著短于对照组.治疗组32例患者术后胆道残留结石2例,经T管纤维胆道镜再取石后痊愈.对照组1例发生术后胆道大出血,经缝扎后得以止血.结论 腹腔镜胆总管切口取石T管引流术手术切口较小,对胆道的创伤较小,术后恢复较快.
目的 探討腹腔鏡膽總管切開取石T管引流術的臨床療效.方法 選擇2008年4月至2010年7月我院採用腹腔鏡下行膽總管切開取石T管引流術治療的32例膽囊結石併膽總管結石患者作為治療組,選擇同期進行開腹手術治療的40例膽結石患者作為對照組,對兩組患者的手術時間、住院時間以及術後併髮癥進行對比.結果 治療組患者手術時間100～ 210 min,平均(139.2±31.5) min,術後第2天即能進食.住院天數3～6天,平均(4.1±0.6)天.治療組的住院時間顯著短于對照組.治療組32例患者術後膽道殘留結石2例,經T管纖維膽道鏡再取石後痊愈.對照組1例髮生術後膽道大齣血,經縫扎後得以止血.結論 腹腔鏡膽總管切口取石T管引流術手術切口較小,對膽道的創傷較小,術後恢複較快.
목적 탐토복강경담총관절개취석T관인류술적림상료효.방법 선택2008년4월지2010년7월아원채용복강경하행담총관절개취석T관인류술치료적32례담낭결석병담총관결석환자작위치료조,선택동기진행개복수술치료적40례담결석환자작위대조조,대량조환자적수술시간、주원시간이급술후병발증진행대비.결과 치료조환자수술시간100～ 210 min,평균(139.2±31.5) min,술후제2천즉능진식.주원천수3～6천,평균(4.1±0.6)천.치료조적주원시간현저단우대조조.치료조32례환자술후담도잔류결석2례,경T관섬유담도경재취석후전유.대조조1례발생술후담도대출혈,경봉찰후득이지혈.결론 복강경담총관절구취석T관인류술수술절구교소,대담도적창상교소,술후회복교쾌.
Objective To explore the clinical efficacy of laparoscopic choledocholithotomy with T-tube drainage.Methods 32 patients with gallstones and choledocholith who had received laparoscopic choledocholithotomy with T-tube drainage from April 2008 to July 2010 in our hospital were included in the study group,while 40 patients with gallstones who had received laparotomy for stone removal during the same period was used as control.Surgical duration,length of hospital stay,and postoperative complications were compared.Results In the study group,surgical duration was 100 to 210min,with an average of ( 139.2 ± 31.5 )min,and patients could eat on day 2; length of hospital stay was 3 to 6 days,with an average of( 4.1 ± 0.6 )days.Length of hospital stay was significantly shorter in the study group than in the control group.Two patients in the study group had residual stones after the procedure and were cured after stone removal by choledochofiberscopy via the T-tube.One patient in the control group developed massive biliary tract bleeding and needed suture for hemostasis.Conclusions Laparoscopic choledocholithotomy with T-tube drainage is less invasive to the biliary tract.Patients have smaller incision sites and recover rapidly after the procedure.
