中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2014年
15期
24-25
,共2页
肝内胆管结石%腹腔镜检查%胆道镜检查
肝內膽管結石%腹腔鏡檢查%膽道鏡檢查
간내담관결석%복강경검사%담도경검사
Intrahepatic bile duct stones%Laparoscopy%Biliary endoscopy
目的：探讨腹腔镜联合胆道镜取石术对于治疗肝内外胆管结石的临床价值。方法：选择笔者所在医院收治的确诊为肝内外胆管结石的160例患者作为研究对象并进行分组治疗，试验组所有患者应用腹腔镜联合胆道镜取石术进行治疗，对照组所有患者则采用开腹手术进行治疗。将治疗效果和有关治疗数据进行对比。结果：在平均手术所需时间方面，试验组为(160±15)min，对照组为(150±30)min；在平均术中出血量方面，试验组为(20±10)ml；显著低于对照组的(180±75)ml；在平均住院时间方面，试验组为(6±2)d，显著低于对照组的(10±1)d；在结石清除率方面，试验组为93.33%，高于对照组的91.43%；在术后并发症方面，试验组为0，对照组有4例胆漏。两组患者术后6个月均无复发。结论：腹腔镜联合胆道镜取石术安全有效，患者恢复快，值得广泛应用。
目的：探討腹腔鏡聯閤膽道鏡取石術對于治療肝內外膽管結石的臨床價值。方法：選擇筆者所在醫院收治的確診為肝內外膽管結石的160例患者作為研究對象併進行分組治療，試驗組所有患者應用腹腔鏡聯閤膽道鏡取石術進行治療，對照組所有患者則採用開腹手術進行治療。將治療效果和有關治療數據進行對比。結果：在平均手術所需時間方麵，試驗組為(160±15)min，對照組為(150±30)min；在平均術中齣血量方麵，試驗組為(20±10)ml；顯著低于對照組的(180±75)ml；在平均住院時間方麵，試驗組為(6±2)d，顯著低于對照組的(10±1)d；在結石清除率方麵，試驗組為93.33%，高于對照組的91.43%；在術後併髮癥方麵，試驗組為0，對照組有4例膽漏。兩組患者術後6箇月均無複髮。結論：腹腔鏡聯閤膽道鏡取石術安全有效，患者恢複快，值得廣汎應用。
목적：탐토복강경연합담도경취석술대우치료간내외담관결석적림상개치。방법：선택필자소재의원수치적학진위간내외담관결석적160례환자작위연구대상병진행분조치료，시험조소유환자응용복강경연합담도경취석술진행치료，대조조소유환자칙채용개복수술진행치료。장치료효과화유관치료수거진행대비。결과：재평균수술소수시간방면，시험조위(160±15)min，대조조위(150±30)min；재평균술중출혈량방면，시험조위(20±10)ml；현저저우대조조적(180±75)ml；재평균주원시간방면，시험조위(6±2)d，현저저우대조조적(10±1)d；재결석청제솔방면，시험조위93.33%，고우대조조적91.43%；재술후병발증방면，시험조위0，대조조유4례담루。량조환자술후6개월균무복발。결론：복강경연합담도경취석술안전유효，환자회복쾌，치득엄범응용。
Objective:To investigate clinical value of the combined laparoscopic and endoscopic biliary lithotripsy in the treatment of extrahepatic bile duct stones.Method:160 cases of extrahepatic bile duct stones in our hospital were selected as research subjects and were divided into two groups,patients in the experimental group all were treated with combined laparoscopic and endoscopic biliary lithotripsy,all patients in the control group were treated with open cholecystectomy.The therapeutic effect of the treatment and the comparison data were compared.Result:The mean operative time of the experimental group was (160±15)min,it was more than (150±30)min of the control group;the average amount of bleeding in the experimental group was (20±10)ml,it was significantly lower than (180±75)ml of the control group,the average length of stay in the experimental group was (6±2)days,it was significantly lower than (10±1)days of the control group,stone clearance rate of the experimental group was 93.33%,it was significantly higher than the 91.43%of the control group,postoperative complications in the experimental group was 0,there were four cases of bile leakage in the control group.Two groups of patients had no recurrence after 6 months. Conclusion:The laparoscopic and endoscopic biliary lithotripsy is safe and effective,and the recover is quick,it is worthy of wide application.
