吉林医学
吉林醫學
길림의학
JILIN MEDICAL JOURANL
2015年
11期
2212-2214
,共3页
钟志辉%莫伟峰%叶雪莲%稽腾飞
鐘誌輝%莫偉峰%葉雪蓮%稽騰飛
종지휘%막위봉%협설련%계등비
结石性急性胆管炎%腹腔镜胆囊切除术%胆总管探查术%内镜乳头切开取石术
結石性急性膽管炎%腹腔鏡膽囊切除術%膽總管探查術%內鏡乳頭切開取石術
결석성급성담관염%복강경담낭절제술%담총관탐사술%내경유두절개취석술
Acute cholangitis stones%Laparoscopic cholecystectomy%Exploration of commonbile duct%Endoscopic papillarg lithotomy
目的：探讨急性结石性胆管炎的治疗。方法：选取122例结石性急性胆管炎患者，随机分为观察组（n＝63）和对照组（n＝59），观察组予以腹腔镜胆囊切除术（LC）联合胆总管探查术（LCBDE），对照组予以腹腔镜胆囊切除术（LC）联合内镜乳头切开取石术（EST），比较两组治疗情况和相关临床指标。结果：观察组手术时间、术中出血量、体温恢复时间均短于对照组（P＜0.05），两组结石清除率、中转开腹率、术后并发症发生率差异无统计学意义（P＞0.05），观察组单次治疗成功率为95.2％，明显高于对照组的81.4％（P＜0.05）。结论：腹腔镜胆囊切除术（LC）联合胆总管探查术（LCBDE）治疗结石性急性胆管炎具有单次治疗成功率高，术中出血量少，手术时间短等优势，促进了患者术后恢复，具有积极的应用价值。
目的：探討急性結石性膽管炎的治療。方法：選取122例結石性急性膽管炎患者，隨機分為觀察組（n＝63）和對照組（n＝59），觀察組予以腹腔鏡膽囊切除術（LC）聯閤膽總管探查術（LCBDE），對照組予以腹腔鏡膽囊切除術（LC）聯閤內鏡乳頭切開取石術（EST），比較兩組治療情況和相關臨床指標。結果：觀察組手術時間、術中齣血量、體溫恢複時間均短于對照組（P＜0.05），兩組結石清除率、中轉開腹率、術後併髮癥髮生率差異無統計學意義（P＞0.05），觀察組單次治療成功率為95.2％，明顯高于對照組的81.4％（P＜0.05）。結論：腹腔鏡膽囊切除術（LC）聯閤膽總管探查術（LCBDE）治療結石性急性膽管炎具有單次治療成功率高，術中齣血量少，手術時間短等優勢，促進瞭患者術後恢複，具有積極的應用價值。
목적：탐토급성결석성담관염적치료。방법：선취122례결석성급성담관염환자，수궤분위관찰조（n＝63）화대조조（n＝59），관찰조여이복강경담낭절제술（LC）연합담총관탐사술（LCBDE），대조조여이복강경담낭절제술（LC）연합내경유두절개취석술（EST），비교량조치료정황화상관림상지표。결과：관찰조수술시간、술중출혈량、체온회복시간균단우대조조（P＜0.05），량조결석청제솔、중전개복솔、술후병발증발생솔차이무통계학의의（P＞0.05），관찰조단차치료성공솔위95.2％，명현고우대조조적81.4％（P＜0.05）。결론：복강경담낭절제술（LC）연합담총관탐사술（LCBDE）치료결석성급성담관염구유단차치료성공솔고，술중출혈량소，수술시간단등우세，촉진료환자술후회복，구유적겁적응용개치。
Objective To explore the treatment of acute cholangitis stones. Method 122 cases of patients with acute cholangitis stones were randomly divided into the observation group(n=63)and control group(n=59),the observation group was treated with laparoscopic cholecystectomy( LC)combine with laparoscopic common bile duct exploration( LCBDE),the control group was treated with laparoscopic chol-ecystectomy( LC )combine with endoscopic sphincterotomy( EST ),the treatment and related clinical indicators were compared in two group. Results The operative time,blood loss,and recovery time of temperature of the observation group were shorter than that of the control group(P<0. 05). the stone clearance rate,laparotomy rate,incidence of postoperative complications of two groups had no significant differ-ence,the difference wasn't statistically significant( P>0. 05),the single treatment success rate of observation group was 95. 2%,which was higher than that of the control group 81. 4%(P<0. 05). Conclusion Laparoscopic cholecystectomy(LC)combine with laparoscopic common bile duct exploration( LCBDE)in treatment of acute cholangitis stones,which has the advantage of a high single treatment success rate,less blood loss and shorter operative time,improves the recovery of patients,and has application value positive.
