摘要
目的对肝内胆管结石患者应用腹腔镜肝切除术治疗的效果进行探讨。方法选取88例肝内胆管结石患者进行分组比较,各组44例。观察组给予腹腔镜肝切除术治疗,对照组给予开腹手术治疗,比较两组临床综合指标,总结治疗经验。结果与对照组相比,观察组的手术时间、术中出血量、下床活动时间、恢复进食时间和住院时间均比较优,P<0.05,差异有统计学意义;观察组的结石清除率高于对照组,结石复发率低于对照组,且观察组的术后并发症发生率显低于对照组,P<0.05,差异有统计学意义。结论与开腹手术相比,腹腔镜肝切除术以创伤小、出血量少、术后恢复快等优点,在肝内胆管结石治疗方面取得了较好的效果,且方案安全性高。
Objective To investigate the efect of laparoscopic hepatectomy in patients with hepatolithiasis. Methods 88 patients with intrahepatic bile duct stones were divided into groups, 44 cases in each group. The observation group was treated with laparoscopic hepatectomy, the control group was treated with open surgery, the clinical indicators of the two groups were compared, and the treatment experience was summarized. Results Compared with the control group, the operation time, intraoperative blood loss, ambulation time, recovery time and hospital stay in the observation group were better, P 〈 0.05, the difference was statistically signifcant; The stone clearance rate of the observation group was higher than that of the control group, the stone recurrence rate was lower than that of the control group, and the incidence of postoperative complications in the observation group was signifcantly lower than that of the control group, P 〈 0.05, the diference was statistically signifcant. Conclusion Compared with open surgery, laparoscopic hepatectomy has the advantages of less trauma, less blood loss, rapid postoperative recovery, and has achieved good results in the treatment of intrahepatic bile duct stones, and the safety of the program is high.
出处
《中国继续医学教育》
2017年第24期101-103,共3页
China Continuing Medical Education
关键词
肝内胆管结石
腹腔镜
治疗
intrahepatic bile duct stones
laparoscopy
treatment
