中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2014年
25期
48-49
,共2页
胆总管结石%腹腔镜探查%Ⅰ期缝合%临床研究
膽總管結石%腹腔鏡探查%Ⅰ期縫閤%臨床研究
담총관결석%복강경탐사%Ⅰ기봉합%림상연구
Common bile duct stone%Laparoscopic exploration%I suture%Clinical study
目的：探究胆总管结石患者采用腹腔镜胆总管探查Ⅰ期缝合术治疗的临床效果。方法选取胆总管结石患者56例，按照治疗方式的不同分为实验组和对照组，每组28例；实验组患者给予腹腔镜胆总管探查Ⅰ期缝合术治疗，对照组患者给予开腹胆总管探查且行T管引流术治疗；观察两组患者的临床疗效及安全性情况。结果两组患者治疗后病情均有改善，但实验组患者的住院时间（8.3±1.6） d、术中出血量（24.7±4.6） mL及血清TNF-α水平（9.3±6.7） pg·mL显著优于对照组的住院时间（15.4±1.4） d、术中出血量（53.5±6.1） mL及血清TNF-α水平（20.7±1.6） pg/mL，差异有统计学意义（P<0.05）。结论胆总管结石患者实施腹腔镜胆总管探查Ⅰ期缝合术治疗，有效的减少了患者术后胆漏的发生率，降低了患者术后血清TNF-α的水平，促进了患者术后的恢复，安全有效，疗效显著，值得推广。
目的：探究膽總管結石患者採用腹腔鏡膽總管探查Ⅰ期縫閤術治療的臨床效果。方法選取膽總管結石患者56例，按照治療方式的不同分為實驗組和對照組，每組28例；實驗組患者給予腹腔鏡膽總管探查Ⅰ期縫閤術治療，對照組患者給予開腹膽總管探查且行T管引流術治療；觀察兩組患者的臨床療效及安全性情況。結果兩組患者治療後病情均有改善，但實驗組患者的住院時間（8.3±1.6） d、術中齣血量（24.7±4.6） mL及血清TNF-α水平（9.3±6.7） pg·mL顯著優于對照組的住院時間（15.4±1.4） d、術中齣血量（53.5±6.1） mL及血清TNF-α水平（20.7±1.6） pg/mL，差異有統計學意義（P<0.05）。結論膽總管結石患者實施腹腔鏡膽總管探查Ⅰ期縫閤術治療，有效的減少瞭患者術後膽漏的髮生率，降低瞭患者術後血清TNF-α的水平，促進瞭患者術後的恢複，安全有效，療效顯著，值得推廣。
목적：탐구담총관결석환자채용복강경담총관탐사Ⅰ기봉합술치료적림상효과。방법선취담총관결석환자56례，안조치료방식적불동분위실험조화대조조，매조28례；실험조환자급여복강경담총관탐사Ⅰ기봉합술치료，대조조환자급여개복담총관탐사차행T관인류술치료；관찰량조환자적림상료효급안전성정황。결과량조환자치료후병정균유개선，단실험조환자적주원시간（8.3±1.6） d、술중출혈량（24.7±4.6） mL급혈청TNF-α수평（9.3±6.7） pg·mL현저우우대조조적주원시간（15.4±1.4） d、술중출혈량（53.5±6.1） mL급혈청TNF-α수평（20.7±1.6） pg/mL，차이유통계학의의（P<0.05）。결론담총관결석환자실시복강경담총관탐사Ⅰ기봉합술치료，유효적감소료환자술후담루적발생솔，강저료환자술후혈청TNF-α적수평，촉진료환자술후적회복，안전유효，료효현저，치득추엄。
Objective To study the clinical effect of laparoscopic common bile duct exploration I suture on patients with common bile duct stone. Methods 56 patients with common bile duct stones were selected and divided into the experimental group and the control group according to different treatment methods, 28 cases in each group. The experimental group was treated with laparo-scopic common bile duct exploration I suture, the control group was treated with laparoscopic common bile duct exploration and T tube drainage. And the clinical efficacy and safety of the two groups were observed. Results After treatment, the condition of the patients in the two groups improved. The hospitalization time of the experimental group was (8.3 ±1.6)d, intraoperative blood loss was (24.7±4.6) ml and serum TNF-α level was (9.3±6.7) pgoml-1, significantly better than the control group's (15.4±1.4)d, (53.5± 6.1)ml, (20.7±1.6) pgoml-1, the differences were statistically significant (P<0.05). Conclusion For patients with common bile duct stone, laparoscopic common bile duct exploration I suture can safely and effectively reduce the postoperative bile leakage rate and the serum TNF-αlevel, promote the recovery of the patients with significant efficacy and is worthy of promotion.
