世界最新医学信息文摘（电子版）
世界最新醫學信息文摘（電子版）
세계최신의학신식문적（전자판）
World Latest Medicine Information
2013年
16期
139-139,143
,共2页
肝硬化%胆结石%外科治疗
肝硬化%膽結石%外科治療
간경화%담결석%외과치료
cirrhosis%gallstones%surgical treatment
目的：探讨外科治疗36例肝硬化合并胆结石的疗效。方法选36例肝硬化合并胆结石患者，术前经过B超检查并确诊为肝硬化合并胆石症，外科手术采用腹腔镜进行治疗。结果26例治愈，约占72.22%；好转9例，占25%；死亡1例，约占2.78%；术后2例并发症，约占5.56%。其中切口感染1例，约占2.78%；急性肾功能衰竭患者1例，约占2.78%；腹腔积液患者1例，约占2.78%；上消化道出血1例，约占2.78%；手术过程中出血量最小的490ml，最大的1500ml，手术时间最短的27min，时间最长的98min。结论对肝硬化合并胆结石患者运用腹腔镜进行外科手术治疗有明显疗效，创伤小，但在术中一定要注意灵活的运用相关的操作技巧。
目的：探討外科治療36例肝硬化閤併膽結石的療效。方法選36例肝硬化閤併膽結石患者，術前經過B超檢查併確診為肝硬化閤併膽石癥，外科手術採用腹腔鏡進行治療。結果26例治愈，約佔72.22%；好轉9例，佔25%；死亡1例，約佔2.78%；術後2例併髮癥，約佔5.56%。其中切口感染1例，約佔2.78%；急性腎功能衰竭患者1例，約佔2.78%；腹腔積液患者1例，約佔2.78%；上消化道齣血1例，約佔2.78%；手術過程中齣血量最小的490ml，最大的1500ml，手術時間最短的27min，時間最長的98min。結論對肝硬化閤併膽結石患者運用腹腔鏡進行外科手術治療有明顯療效，創傷小，但在術中一定要註意靈活的運用相關的操作技巧。
목적：탐토외과치료36례간경화합병담결석적료효。방법선36례간경화합병담결석환자，술전경과B초검사병학진위간경화합병담석증，외과수술채용복강경진행치료。결과26례치유，약점72.22%；호전9례，점25%；사망1례，약점2.78%；술후2례병발증，약점5.56%。기중절구감염1례，약점2.78%；급성신공능쇠갈환자1례，약점2.78%；복강적액환자1례，약점2.78%；상소화도출혈1례，약점2.78%；수술과정중출혈량최소적490ml，최대적1500ml，수술시간최단적27min，시간최장적98min。결론대간경화합병담결석환자운용복강경진행외과수술치료유명현료효，창상소，단재술중일정요주의령활적운용상관적조작기교。
Objective To investigate the surgical treatment of 36 cases of cirrhosis and gallstones effect. Methods 36 cases of gallstones in patients with cirrhosis, after preoperative B-mode ultrasound diagnosis of cirrhosis and cholelithiasis, using laparoscopic surgical treatment. Results 26 patients were cured, accounting for 72.22%;improved in 9 cases, accounting for 25%;1 died, accounting for 2.78%;postoperative complications in 2 cases, accounting for 5.56%. Including one case of wound infection, accounting for 2.78%;acute renal failure in patients with one case, accounting for 2.78%;peritoneal effusions one case, accounting for 2.78%;upper gastrointestinal bleeding in one case, accounting for 2.78%;surgical procedure the smallest amount of bleeding 490ml, maximum 1500ml, the shortest operation time 27min, the longest 98min. Conclusion The use of laparoscopy in patients with cirrhosis and gallstones for surgical treatment have signiifcant effects, trauma, surgery but must pay attention to the use of lfexible operations related skills.
