中外医疗
中外醫療
중외의료
China Foreign Medical Treatment
2015年
28期
4-5,13
,共3页
腹腔镜%胆道镜%保胆手术
腹腔鏡%膽道鏡%保膽手術
복강경%담도경%보담수술
Laparoscope%Choledochoscope%Gallbladder preserving surgery
目的 探讨腹腔镜辅助胆道镜实施保胆手术的临床效果. 方法 整群选取2012年5月—2015年1月间该院收治的胆囊结石患者,共计90例. 分为治疗组和对照组,各45例,对照组患者采用腹腔镜胆囊切除术治疗,治疗组采用腹腔镜辅助胆道镜保胆取石手术进行治疗,对比分析两组手术时间、术中出血量、术后排气时间、住院天数等指标. 结果 治疗组患者平均手术时间为(40.4±6.3) min,术中出血量为(5.8±1.2) mL,术后排气时间为(18.0±2.1) h,住院天数为(5.2±0.6) d;对照组患者平均手术时间为(42.6±5.9) min,术中出血量为(12.0±4.1) mL,术后排气时间为(30.5±2.9) h,住院天数为(6.3±2.1) d;对比发现,治疗组各项指标均优于对照组,差异有统计学意义(P<0.05). 结论 腹腔镜辅助胆道镜实施保胆手术是一种有效治疗胆囊结石的手术方案. 值得广泛推广和深入研究.
目的 探討腹腔鏡輔助膽道鏡實施保膽手術的臨床效果. 方法 整群選取2012年5月—2015年1月間該院收治的膽囊結石患者,共計90例. 分為治療組和對照組,各45例,對照組患者採用腹腔鏡膽囊切除術治療,治療組採用腹腔鏡輔助膽道鏡保膽取石手術進行治療,對比分析兩組手術時間、術中齣血量、術後排氣時間、住院天數等指標. 結果 治療組患者平均手術時間為(40.4±6.3) min,術中齣血量為(5.8±1.2) mL,術後排氣時間為(18.0±2.1) h,住院天數為(5.2±0.6) d;對照組患者平均手術時間為(42.6±5.9) min,術中齣血量為(12.0±4.1) mL,術後排氣時間為(30.5±2.9) h,住院天數為(6.3±2.1) d;對比髮現,治療組各項指標均優于對照組,差異有統計學意義(P<0.05). 結論 腹腔鏡輔助膽道鏡實施保膽手術是一種有效治療膽囊結石的手術方案. 值得廣汎推廣和深入研究.
목적 탐토복강경보조담도경실시보담수술적림상효과. 방법 정군선취2012년5월—2015년1월간해원수치적담낭결석환자,공계90례. 분위치료조화대조조,각45례,대조조환자채용복강경담낭절제술치료,치료조채용복강경보조담도경보담취석수술진행치료,대비분석량조수술시간、술중출혈량、술후배기시간、주원천수등지표. 결과 치료조환자평균수술시간위(40.4±6.3) min,술중출혈량위(5.8±1.2) mL,술후배기시간위(18.0±2.1) h,주원천수위(5.2±0.6) d;대조조환자평균수술시간위(42.6±5.9) min,술중출혈량위(12.0±4.1) mL,술후배기시간위(30.5±2.9) h,주원천수위(6.3±2.1) d;대비발현,치료조각항지표균우우대조조,차이유통계학의의(P<0.05). 결론 복강경보조담도경실시보담수술시일충유효치료담낭결석적수술방안. 치득엄범추엄화심입연구.
Objective To study the clinical efficacy of laparoscopic-assisted choledochoscopic cholecystolithotomy. Methods 90 patients with gallbladder stone admitted to the hospital from May 2012 to January 2015 were included and divided into treatment group and control group with 45 patients in each one. The patients in the control group were treated with laparoscopic cholecys-tectomy, while those in the treatment group underwent laparoscopic-assisted choledochoscopic cholecystolithotomy. The operation duration, intraoperative blood loss, postoperative exhaust time, lengthy of stay and other indexes of the two groups were compara-tively analyzed. Results The operation duration, intraoperative blood loss, postoperative exhaust time, lengthy of stay was(40.4±6.3) min, (5.8±1.2) mL, (18.0±2.1) h, (5.2±0.6) d respectively in the treatment group and (42.6±5.9) min, (12.0±4.1) mL,(30.5±2.9) h, (6.3± 2.1) d respectively in the control group, which indicated that the indexes of the treatment group were superior to those of the con-trol group and the differences were statistically significant (P<0.05). Conclusion Laparoscopic-assisted choledochoscopic cholecys-tolithotomy is an effective surgical scheme for gallbladder stone, which is worthy of extensive promotion and in-depth researches.
