摘要
目的探究传统手术和腹腔镜下手术治疗成人先天性胆管扩张的临床治疗效果。方法回顾性分析64例先天性胆管扩张症(CBD)患者资料,根据手术方法将患者分为两组。观察组34例在腹腔镜下进行胆管囊肿切除和肝总管空肠Roux-en-Y吻合手术,对照组30例采用传统开放手术进行胆管囊肿切除和肝总管空肠Roux-en-Y吻合手术。比较并分析两组患者平均手术时间、手术中平均失血量、手术后平均住院时间、手术后平均排气时间、术后并发症发生率等。结果观察组的平均手术时间长于对照组,差异具有统计学意义(P<0.05);观察组的术中平均失血量、术后平均住院时间、术后平均排气时间均低于对照组,差异具有统计学意义(P<0.05)。两组患者手术后并发症比较,差异无统计学意义(P>0.05)。结论在完全腹腔镜下对成人CBD患者进行胆管囊肿切除和肝总管空肠Rouxen-Y吻合手术,与传统开放性手术进行比较,具有安全性高、费用少、术后恢复快等优势,值得推广。
Objective To explore the clinical therapeutic effect of traditional operation and laparoscopic operation in treatment of adult patients with congenital bile duct dilatation. Methods A retrospective analysis of 64 cases of congenital dilatation in bile duct had been carried out,and treatment of congenital biliary dilatation（ CBD） had been performed in patients with bile duct cyst excision and Roux-en-Y anastomosis of hepatic duct and jejunum under laparoscopy in 34 cases as observation group; and 30 cases with traditional open operation were allocated as control group. The average operating time,average volume of bleeding during operation,average hospital stay after operation,the average exhaust time,postoperative complication rate etc were compared and analyzed in these 2 groups. Results The average operating time in observation group was longer than that of control group,and the difference was statistically significant（ P 0. 05）. The average amount of intraoperative blood loss,the mean postoperative hospital stay,postoperative average discharge time in patients of observation group were lower than those of patients in control group,and the difference was statistically significant（ P 0. 05）. The difference in occurrence of complications in these two groups after surgery was not statistically significant（ P 0. 05）. Conclusion The total laparoscopic surgery for treatment of adult CBD patients with choledochal cyst excision and Roux-en-Y anastomosis of hepatic duct and jejunum,compared with traditional open surgery,has the advantages of high safety,low cost,rapid postoperative recovery and other advantages,hence it is worthy to be promoted for clinical application.
出处
《临床和实验医学杂志》
2015年第6期488-490,共3页
Journal of Clinical and Experimental Medicine
关键词
先天性胆管扩张症
手术方式
腹腔镜
临床疗效
Congenital bile duct dilatation
Operation mode
Laparoscopic surgery
Clinical efficacy
