中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
11期
54-54,56
,共2页
腹腔镜%胆道镜%胆结石%临床分析
腹腔鏡%膽道鏡%膽結石%臨床分析
복강경%담도경%담결석%림상분석
Laparoscope%Choledochoscope%Gallstone%Clinical analysis
目的：探讨腹腔镜联合胆道镜治疗胆结石的临床价值。方法：收治胆结石患者104例，随机将其分为治疗组和对照组。对照组52例患者从治疗开始，利用传统的开腹切开胆管取石方法进行治疗，治疗组52例患者从治疗开始，使用腹腔镜联合胆道镜的方法进行治疗。临床观察对比两组的临床效果、住院时间、手术时间和并发症发生率。结果：治疗组总有效率93.33%，对照组总有效率73.33%。治疗组的住院时间和手术时间都明显短于对照组，两组结果对比差异有统计学意义(P＜0.05)。结论：腹腔镜联合胆道镜治疗胆结石患者的临床效果非常好，不良情况的发生率很低，有利于促进患者各方面的治疗实施状况。
目的：探討腹腔鏡聯閤膽道鏡治療膽結石的臨床價值。方法：收治膽結石患者104例，隨機將其分為治療組和對照組。對照組52例患者從治療開始，利用傳統的開腹切開膽管取石方法進行治療，治療組52例患者從治療開始，使用腹腔鏡聯閤膽道鏡的方法進行治療。臨床觀察對比兩組的臨床效果、住院時間、手術時間和併髮癥髮生率。結果：治療組總有效率93.33%，對照組總有效率73.33%。治療組的住院時間和手術時間都明顯短于對照組，兩組結果對比差異有統計學意義(P＜0.05)。結論：腹腔鏡聯閤膽道鏡治療膽結石患者的臨床效果非常好，不良情況的髮生率很低，有利于促進患者各方麵的治療實施狀況。
목적：탐토복강경연합담도경치료담결석적림상개치。방법：수치담결석환자104례，수궤장기분위치료조화대조조。대조조52례환자종치료개시，이용전통적개복절개담관취석방법진행치료，치료조52례환자종치료개시，사용복강경연합담도경적방법진행치료。림상관찰대비량조적림상효과、주원시간、수술시간화병발증발생솔。결과：치료조총유효솔93.33%，대조조총유효솔73.33%。치료조적주원시간화수술시간도명현단우대조조，량조결과대비차이유통계학의의(P＜0.05)。결론：복강경연합담도경치료담결석환자적림상효과비상호，불량정황적발생솔흔저，유리우촉진환자각방면적치료실시상황。
Objective:To explore the clinical value of laparoscopy combined with choledochoscopy in the treatment of cholelithiasis.Methods:104 patients with gallstones were selected,they were randomly divided into the treatment group and the control group with 52 cases in each.The control group was treated by conventional open operation to cut open the bile duct for the extraction of gallstones,the treatment group were treated by laparoscopy combined with choledochoscopy.The clinical effect, hospitalization time,operation time and incidence of complications of the two groups were compared.Results:In the treatment group,the total efficiency was 93.33% ;in the control group,the total efficiency was 73.33% .In the treatment group,the hospitalization time and operation time was shorter than the control group,the difference was statistically significant(P<0.05). Conclusion:The clinical effect of laparoscopy combined with choledochoscopy in treatment of patients with cholelithiasis is very good,the incidence rate of adverse reaction is very low.It is helpful to promote the implementation of the treatment for patients.
