中国当代医药
中國噹代醫藥
중국당대의약
China Modern Medicine
2015年
27期
36-38
,共3页
内镜%腹腔镜%胆总管探查%胆囊结石%胆总管结石
內鏡%腹腔鏡%膽總管探查%膽囊結石%膽總管結石
내경%복강경%담총관탐사%담낭결석%담총관결석
Endoscope%Laparoscope%Common bile duct exploration%Gallstone%Choledocholithiasis
目的：探讨内镜与腹腔镜联合治疗老年胆囊结石合并胆总管结石的临床效果。方法选取2012年3月~2014年12月本院收治的130例老年胆囊结石合并胆总管结石患者作为研究对象，采用随机数字表法分为研究组和对照组，各65例。研究组采用内镜下乳头括约肌切开术（EST）垣取石网篮取石术垣腹腔镜胆囊切除术（LC）治疗，对照组采用传统开腹胆囊切除术垣胆总管切开取石T管引流术。比较两组的手术时间、术中出血量、排气时间、肠鸣音恢复时间、住院时间及并发症发生率。结果两组的手术时间比较，差异无统计学意义（P>0.05）。研究组的术中出血量显著少于对照组，排气时间、肠鸣音恢复时间及住院时间显著短于对照组，差异有统计学意义（P<0.05）。研究组的并发症发生率为9.2%，显著低于对照组的24.6%，差异有统计学意义（P<0.05）。结论内镜与腹腔镜联合治疗老年胆囊结石合并胆总管结石效果显著，具有创伤小、出血少、并发症少及恢复快等优点，可促进患者早日康复。
目的：探討內鏡與腹腔鏡聯閤治療老年膽囊結石閤併膽總管結石的臨床效果。方法選取2012年3月~2014年12月本院收治的130例老年膽囊結石閤併膽總管結石患者作為研究對象，採用隨機數字錶法分為研究組和對照組，各65例。研究組採用內鏡下乳頭括約肌切開術（EST）垣取石網籃取石術垣腹腔鏡膽囊切除術（LC）治療，對照組採用傳統開腹膽囊切除術垣膽總管切開取石T管引流術。比較兩組的手術時間、術中齣血量、排氣時間、腸鳴音恢複時間、住院時間及併髮癥髮生率。結果兩組的手術時間比較，差異無統計學意義（P>0.05）。研究組的術中齣血量顯著少于對照組，排氣時間、腸鳴音恢複時間及住院時間顯著短于對照組，差異有統計學意義（P<0.05）。研究組的併髮癥髮生率為9.2%，顯著低于對照組的24.6%，差異有統計學意義（P<0.05）。結論內鏡與腹腔鏡聯閤治療老年膽囊結石閤併膽總管結石效果顯著，具有創傷小、齣血少、併髮癥少及恢複快等優點，可促進患者早日康複。
목적：탐토내경여복강경연합치료노년담낭결석합병담총관결석적림상효과。방법선취2012년3월~2014년12월본원수치적130례노년담낭결석합병담총관결석환자작위연구대상，채용수궤수자표법분위연구조화대조조，각65례。연구조채용내경하유두괄약기절개술（EST）원취석망람취석술원복강경담낭절제술（LC）치료，대조조채용전통개복담낭절제술원담총관절개취석T관인류술。비교량조적수술시간、술중출혈량、배기시간、장명음회복시간、주원시간급병발증발생솔。결과량조적수술시간비교，차이무통계학의의（P>0.05）。연구조적술중출혈량현저소우대조조，배기시간、장명음회복시간급주원시간현저단우대조조，차이유통계학의의（P<0.05）。연구조적병발증발생솔위9.2%，현저저우대조조적24.6%，차이유통계학의의（P<0.05）。결론내경여복강경연합치료노년담낭결석합병담총관결석효과현저，구유창상소、출혈소、병발증소급회복쾌등우점，가촉진환자조일강복。
Objective To explore the clinical effect of endoscope combined with laparoscope in the treatment of elderly patients with gallstone and choledocholithiasis. Methods 130 elderly patients with gallstone and choledocholithiasis from March 2012 to December 2014 in our hospital were selected and randomly divided into the research group and the control group according to the random number table method,65 cases in each group.The research group was treated with endoscopic sphincteropapillotomy (EST),basket extraction of stone removal and laparoscopic cholecystectomy (LC),the control group was treated with the traditional open cholecystectomy combined with choledocholithotomy-T-tube drainage.The operation time,intraoperative amount of bleeding,exhaust time,time of borborygmus recovery,hospital stay and the incidence rate of complication in two groups was compared. Results There was no significant difference of the operation time between two groups (P>0.05).The intraoperative amount of bleeding in the research group was less than that in the control group,the exhaust time,time of borborygmus recovery,hospital stay in the research group was shorter than that in the control group,with significant difference (P<0.05).The incidence rate of complication in the research group was lower than that in the control group,with significant difference (P<0.05). Conclusion Endoscope combined with laparoscope in the treatment of elderly patients with gallstone and choledocholithiasis is significant,which has the advantages of less trauma,less bleeding,less complications and quicker recovery,can enhance patient’s early recovery.
