中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
23期
38-39
,共2页
胆道结石%胆道镜%腹腔镜%微创术
膽道結石%膽道鏡%腹腔鏡%微創術
담도결석%담도경%복강경%미창술
Biliary calculi%Choledochoscopy%Laparoscopy%Minimally invasive surgery
目的：探讨和研究腹腔镜与胆道镜联合治疗胆道结石的主要方法和效果。方法整群选择该院自2014年1月—2015年2月所收治的胆道结石患者共152例,按照随机原则分为观察组和对照组各为76例,对照组患者采用常规的开腹手术进行治疗,而对于观察组患者,则采用腹腔镜与胆道镜联合进行治疗,然后将两组患者的手术持续时间、胃肠道恢复时间和引流管置入时间以及相关并发症的发生状况进行对比。结果观察组患者的手术时间、胃肠道恢复时间和引流管置入时间分别为(68.2±2.6)h、(24.6±8.7)h和(14.9±2.3)h,均短于对照组；此外,观察组与对照组并发症发生率分别为2.63%、15.79%,该两组患者的并发症发生率对比,差异有统计学意义(χ2=7.539, P<0.05)。结论对于胆道结石患者,运用腹腔镜与胆道镜联合微创治疗,有着手术创伤小,术后恢复时间快且并发症少的特点,有助于提升患者的生活质量,值得临床推广。
目的：探討和研究腹腔鏡與膽道鏡聯閤治療膽道結石的主要方法和效果。方法整群選擇該院自2014年1月—2015年2月所收治的膽道結石患者共152例,按照隨機原則分為觀察組和對照組各為76例,對照組患者採用常規的開腹手術進行治療,而對于觀察組患者,則採用腹腔鏡與膽道鏡聯閤進行治療,然後將兩組患者的手術持續時間、胃腸道恢複時間和引流管置入時間以及相關併髮癥的髮生狀況進行對比。結果觀察組患者的手術時間、胃腸道恢複時間和引流管置入時間分彆為(68.2±2.6)h、(24.6±8.7)h和(14.9±2.3)h,均短于對照組；此外,觀察組與對照組併髮癥髮生率分彆為2.63%、15.79%,該兩組患者的併髮癥髮生率對比,差異有統計學意義(χ2=7.539, P<0.05)。結論對于膽道結石患者,運用腹腔鏡與膽道鏡聯閤微創治療,有著手術創傷小,術後恢複時間快且併髮癥少的特點,有助于提升患者的生活質量,值得臨床推廣。
목적：탐토화연구복강경여담도경연합치료담도결석적주요방법화효과。방법정군선택해원자2014년1월—2015년2월소수치적담도결석환자공152례,안조수궤원칙분위관찰조화대조조각위76례,대조조환자채용상규적개복수술진행치료,이대우관찰조환자,칙채용복강경여담도경연합진행치료,연후장량조환자적수술지속시간、위장도회복시간화인류관치입시간이급상관병발증적발생상황진행대비。결과관찰조환자적수술시간、위장도회복시간화인류관치입시간분별위(68.2±2.6)h、(24.6±8.7)h화(14.9±2.3)h,균단우대조조；차외,관찰조여대조조병발증발생솔분별위2.63%、15.79%,해량조환자적병발증발생솔대비,차이유통계학의의(χ2=7.539, P<0.05)。결론대우담도결석환자,운용복강경여담도경연합미창치료,유착수술창상소,술후회복시간쾌차병발증소적특점,유조우제승환자적생활질량,치득림상추엄。
Objective To discuss the effect of laparoscopy combined with choledochoscopy in the treatment of biliary calculi. Methods 152 patients with biliary calculi admitted in our hospital during January 2014 and December 2015 were randomly divided into observation group (n=76) and control group (n=76). The patients in the control group were treated with conventional open surgery, while those in the observation group underwent laparoscopy combined with choledochoscopy. The operation duration, recovery time of gastrointestinal function, duration of catheter drainage and complications were compared between the two groups. Results The operation duration, recovery time of gastrointestinal function, duration of catheter drainage were (68.2±2.6)h, (24.6±8.7)h, (14.9±2.3)h respectively, shorter than those in the control group;in addition, the complication rates of the two groups were 2.63%and 15.79%, and the difference was statistically significant(χ2=7.539, P<0.05). Conclusion For patients with biliary calculi, minimally invasive treatment by laparoscopy combined with choledochoscopy has the advantages of less trauma, quick recovery and less complications and can improve their quality of life, therefore it is worthy of clinical promotion.
