中国医药导刊
中國醫藥導刊
중국의약도간
CHINESE JOURNAL OF MEDICAL GUIDE
2013年
6期
941-943
,共3页
胆囊并胆总管结石%Oddi括约肌切开取石术%胆总管探查取石术%腹腔镜胆囊切除术%开腹胆囊切除联合胆总管切开取石%T管引流
膽囊併膽總管結石%Oddi括約肌切開取石術%膽總管探查取石術%腹腔鏡膽囊切除術%開腹膽囊切除聯閤膽總管切開取石%T管引流
담낭병담총관결석%Oddi괄약기절개취석술%담총관탐사취석술%복강경담낭절제술%개복담낭절제연합담총관절개취석%T관인류
Cholelithiasis and choledocholithiasis%Oddi sphincter incision%Laparoscopic cholecystectomy%Common bile duct exploration%Open cholecystectomy and choledocholithotomy%T tube drainage
目的：评价不同手术治疗胆囊结石并胆总管结石近、远期治疗效果。方法：选择已确诊的330例胆囊并胆总管结石患者，随机分为开腹组(n=92)，采用开腹胆囊切除联合胆总管切开取石+T管引流术；(EST+LC)组(n=110)采用EST+LC术式，(LC+LCBDE)组(n=128)采用LC+LCBDE术式，比较分析三组手术时间、术中失血量、术后肛门排气时间、手术成功率、住院时间和费用、术后近期和远期并发症发生率。结果：三组手术成功率差异无统计学意义(P>0.05)，手术时间、术中失血量、术后肛门排气时间、住院时间、术后近期并发症发生率以开腹组最高，住院费用及术后远期并发症(EST+LC)组最高，差异均有统计学意义(P<0.05)。结论：治疗胆囊结石并胆总管结石根据实际情况，优选LC+LCBDE术式，慎用EST+LC术式，开腹手术作为辅助方案。
目的：評價不同手術治療膽囊結石併膽總管結石近、遠期治療效果。方法：選擇已確診的330例膽囊併膽總管結石患者，隨機分為開腹組(n=92)，採用開腹膽囊切除聯閤膽總管切開取石+T管引流術；(EST+LC)組(n=110)採用EST+LC術式，(LC+LCBDE)組(n=128)採用LC+LCBDE術式，比較分析三組手術時間、術中失血量、術後肛門排氣時間、手術成功率、住院時間和費用、術後近期和遠期併髮癥髮生率。結果：三組手術成功率差異無統計學意義(P>0.05)，手術時間、術中失血量、術後肛門排氣時間、住院時間、術後近期併髮癥髮生率以開腹組最高，住院費用及術後遠期併髮癥(EST+LC)組最高，差異均有統計學意義(P<0.05)。結論：治療膽囊結石併膽總管結石根據實際情況，優選LC+LCBDE術式，慎用EST+LC術式，開腹手術作為輔助方案。
목적：평개불동수술치료담낭결석병담총관결석근、원기치료효과。방법：선택이학진적330례담낭병담총관결석환자，수궤분위개복조(n=92)，채용개복담낭절제연합담총관절개취석+T관인류술；(EST+LC)조(n=110)채용EST+LC술식，(LC+LCBDE)조(n=128)채용LC+LCBDE술식，비교분석삼조수술시간、술중실혈량、술후항문배기시간、수술성공솔、주원시간화비용、술후근기화원기병발증발생솔。결과：삼조수술성공솔차이무통계학의의(P>0.05)，수술시간、술중실혈량、술후항문배기시간、주원시간、술후근기병발증발생솔이개복조최고，주원비용급술후원기병발증(EST+LC)조최고，차이균유통계학의의(P<0.05)。결론：치료담낭결석병담총관결석근거실제정황，우선LC+LCBDE술식，신용EST+LC술식，개복수술작위보조방안。
Objective:To evaluate short and long-term effect of cholelithiasis and choledocholithiasis treated by different operation. Methods:We selected 330 cases of patients confirmed cholelithiasis and choledocholithiasis.They were randomly divided into Open group(n=92)who were treated by open cholecystectomey and open choledocholithotomy T-tube drainage;(EST+LC)group (n=110) who were treated by (EST+LC)'s operation and (LC+LCBDE) group (n=128) who were treated by (LC+LCBDE)'s operation.The operation time,intraoperative blood loss,postoperative anal exhaust time,operation successful rate,hospitalization time and cost,incidence of short and long-term postoperative complications of three groups were comparativly analysised.Results:The operation successful rate of three groups had no significant difference (P>0.05).The operation time,intraoperative blood loss,postoperative anal exhaust time,duration of hospitalization,the rate of short-term postoperative complications of open group were the highest,the hospitalization cost and long-term postoperative complications of (EST+LC)group were the highest,the differences were all statistically significant (all P<0.05). Conclusion:According to actual condition,the therapy of cholelithiasis and choledocholithiasis is preferably (LC+LCBDE) operation method,is careful with (EST+LC) operation method,Surgery Abdomen shoud be Auxiliary method.
