摘要
目的:探讨和分析腹腔镜联合胆道镜微创保胆取石术的临床效果。方法:将2014年4月—2016年4月肝胆外科收治的40例符合保胆取石手术适应证的胆囊结石患者作为观察组,同时将同期行微创胆囊切除术的胆囊结石患者作为对照组,对比分析两组患者的手术时间、术中出血量、住院时间以及术后并发症发生率和随访3个月后两组患者消化功能情况。结果:两组患者的手术时间比较差异无统计学意义(t=1.013,P>0.05);观察组术中出血量明显少于对照组,差异有统计学意义(t=33.927,P<0.05);观察组患者平均住院时间明显短于对照组,差异有统计学意义(t=7.209,P<0.05);观察组术后并发症发生率明显低于对照组,差异有统计学意义(χ~2=7.440,P<0.05);观察组远期胃肠道消化功能异常发生率明显低于对照组,差异有统计学意义(χ~2=4.501,P<0.05)。结论:在符合手术指证的情况下采用腹腔镜联合胆道镜微创保胆取石术,能够有效地减少术中出血量和住院时间,降低术后胆汁泄露、胆囊出血以及术后感染的发生率。同时能够降低远期消化系统异常发生率。
Objective： To investigate and analyze the clinical effect of laparoscopic cholecystectomy combined with laparoscopic cholecystectomy. Methods： From April 2014 to April 2016 in hospital department of hepatobiliary surgery treated 40 patients with gallbladder stone in patients with gallstone disease surgery as observation group,at the same time will be the same for patients with gallbladder stones minimally invasive cholecystectomy as control group,comparative analysis of two groups of patients with operation time,intraoperative blood loss,hospitalization time,and postoperative the complications of two groups of patients with digestive function after three months and follow-up rate. Results： There was no significant difference in the operative time between the two groups（ t = 1. 013,P〉0. 05）,The intraoperative blood loss in the observation group was significantly lower than that in the control group（ t = 33. 927,P〈0. 05）. The average hospital days was significantly shorter in the observation group than in the control group（ t = 7. 209,P〈0. 05）. The incidence of postoperative complications in the observation group was significantly lower than that in the control group（ χ^2= 7. 440,P〈0. 05）. The incidence of long-term gastrointestinal digestive function abnormalities in the observation group was significantly lower than that in the control group（ χ^2= 4. 501,P〈0. 05）. Conclusion： In the cases with surgical indications of laparoscopy combined with choledochoscopy in minimally invasive cholecystolithotomy,can effectively reduce the intraoperative bleeding volume and hospitalization time,reduce postoperative bile leakage,bleeding of gallbladder and the incidence of postoperative infection. At the same time,it can reduce the incidence of abnormal long-term digestive system.
出处
《临床医药实践》
2017年第8期593-594,632,共3页
Proceeding of Clinical Medicine
关键词
胆结石
腹腔镜检查
胆道镜检查
保胆取石术
gallstones
laparoscopy
bile duct endoscopy
gallbladder stone removal
