中外医疗
中外醫療
중외의료
China Foreign Medical Treatment
2015年
27期
66-67
,共2页
腹腔镜胆道探查术%开腹胆道探查T管引流术%胆囊结石%胆总管结石
腹腔鏡膽道探查術%開腹膽道探查T管引流術%膽囊結石%膽總管結石
복강경담도탐사술%개복담도탐사T관인류술%담낭결석%담총관결석
Laparoscopic common bile duct exploration surgery%Open bile duct exploration and T-tube drainage%Gallstones%Common Bile Duct Calculi
目的 比较腹腔镜胆道探查术(LCBDE)、常规开腹胆道探查T管引流术治疗胆囊结石合并胆总管结石的效果和安全性. 方法 整群选取2010年11月-2014年11月期间该院收治的42例胆囊结石合并胆总管结石行常规开腹胆道探查 T管引流术患者作为开腹组, 选取43例胆囊结石合并胆总管结石行LCBDE术患者作为LCBDE组, 对比手术效果. 结果LCBDE组手术切口平均长度(3.12±1.53)cm、术后并发症2.33%、手术平均时间(96.31±26.43)min、术后通气平均时间(1.22± 0.43)min分别低于开腹组(11.63±1.69)cm,、19.05%、(121.39±26.87)min、(3.12±0.45)min,P<0.05. 结论 LCBDE书在缩小手术切口、降低术后并发症、缩短手术时间和术后通气时间等方面优于开腹组,值得临床对手术方法继续探讨和研究.
目的 比較腹腔鏡膽道探查術(LCBDE)、常規開腹膽道探查T管引流術治療膽囊結石閤併膽總管結石的效果和安全性. 方法 整群選取2010年11月-2014年11月期間該院收治的42例膽囊結石閤併膽總管結石行常規開腹膽道探查 T管引流術患者作為開腹組, 選取43例膽囊結石閤併膽總管結石行LCBDE術患者作為LCBDE組, 對比手術效果. 結果LCBDE組手術切口平均長度(3.12±1.53)cm、術後併髮癥2.33%、手術平均時間(96.31±26.43)min、術後通氣平均時間(1.22± 0.43)min分彆低于開腹組(11.63±1.69)cm,、19.05%、(121.39±26.87)min、(3.12±0.45)min,P<0.05. 結論 LCBDE書在縮小手術切口、降低術後併髮癥、縮短手術時間和術後通氣時間等方麵優于開腹組,值得臨床對手術方法繼續探討和研究.
목적 비교복강경담도탐사술(LCBDE)、상규개복담도탐사T관인류술치료담낭결석합병담총관결석적효과화안전성. 방법 정군선취2010년11월-2014년11월기간해원수치적42례담낭결석합병담총관결석행상규개복담도탐사 T관인류술환자작위개복조, 선취43례담낭결석합병담총관결석행LCBDE술환자작위LCBDE조, 대비수술효과. 결과LCBDE조수술절구평균장도(3.12±1.53)cm、술후병발증2.33%、수술평균시간(96.31±26.43)min、술후통기평균시간(1.22± 0.43)min분별저우개복조(11.63±1.69)cm,、19.05%、(121.39±26.87)min、(3.12±0.45)min,P<0.05. 결론 LCBDE서재축소수술절구、강저술후병발증、축단수술시간화술후통기시간등방면우우개복조,치득림상대수술방법계속탐토화연구.
Objective To compare the efficacy and safety between laparoscopic common bile duct exploration surgery (LCBDE) and conventional open bile duct exploration and T-tube drainage in the treatment of gallbladder combined with common bile duct stones. Methods 42 patients with gallbladder combined with common bile duct stones undergoing conventional open bile duct ex-ploration and T-tube drainage between November 2010 and November 2014 were assigned to open group, and other 43 patients undergoing LCBDE in the same period were assigned to LCBDE group. The outcomes were compared. Results The average length of incision [(3.12 ± 1.53) cm vs (11.63 ± 1.69) cm], postoperative complications (2.33%vs 19.05%), average operation time [(96.31 ± 26.43) min vs (121.39 ± 26.87) min], and mean postoperative ventilation time [(1.22 ± 0.43) min vs (3.12 ± 0.45) min] were all lower in the LCBDE group than in the open group,P<0.05. Conclusion To conventional open bile duct exploration and T-tube drainage, CLBDE is superior in reducing incision length, postoperative complications, operative time and postoperative ventilation time, therefore it is worthy of further research.
