摘要
目的对肝硬化合并肝胆结石手术治疗方法和效果进行分析和探讨。方法运用随机抽样的方法选择2012年12月～2014年12月在本院进行治疗的肝硬化合并肝胆结石患者100例,回顾性分析其临床手术治疗的方法和临床效果。结果 100例患者均在腹腔镜下进行胆囊切除术和胆总管切开取石术,手术时间为32～105 min,平均手术时间为（51.86±11.58）min,术中出血量为500～1 700 ml,平均出血量为（818.54±115.35）ml,住院时间为4～12 d,平均住院时间为（5.09±108）d;经治疗后,71例（71.0%）患者治愈,27例（27.0%）患者好转,2例（2.0%）患者死亡;术后有7例患者出现并发症,发生率为7.0%,其中3例患者为切口感染,2例患者为腹腔积液,1例患者为消化道出血,1例患者为急性肾功能衰竭。结论腹腔镜应用于肝硬化合并肝胆结石患者的手术治疗中具有创伤小、疗效好、并发症少的优点,需要加强对手术操作技巧的严格要求。
Objective For the treatment of hepatocirrhosis with liver and gallbladder calculi surgery methods and effects are analyzed and discussed.Methods Using the method of random sampling to choose in December 2012 to December 2014 in our hospital treated 100 cases of patients with liver cirrhosis combined liver and gallbladder stone,were retrospectively analyzed the clinical surgical treatment method and clinical effect.Results 100 cases patients were conducted in laparoscopic cholecystectomy and common bile duct incision nephrolithotomy,operation time is 32～105 min,the average operation time was（51.86±11.58） min,intraoperative blood loss was 500 ～ 1 700 ml,the average blood loss was（818.54±115.35） ml,length of hospital stay for 4～12 d,average hospitalization time was（5.09±108） d.After treatment,71 patients were cured（71.0%） patients,27 patients（27.0%） improved,2 cases died（2.0%） patients.There are 7 patients postoperative complications,the incidence was 7.0%,including incision infection in 3 patients,2 patients for abdominal cavity effusion,1 patients with digestive tract bleeding,1 patient with acute renal failure.Conclusion Laparoscopic applied in the surgical treatment of patients with liver cirrhosis combined liver and gallbladder stones have the advantages of small trauma,good curative effect,fewer complications,need to strengthen the strict requirements of operation skills.
出处
《中国继续医学教育》
2015年第17期126-127,共2页
China Continuing Medical Education
关键词
肝硬化合并肝胆结石
腹腔镜
胆囊切除术
手术效果
并发症
Cirrhosis complicated with biliary stones
Laparoscope
Resection of gallbladder
Operation effect
Complication
