摘要
目的分析胆总管结石患者采用腹腔镜下胆道镜联合体内冲击波碎石治疗的效果。方法 114例胆总管结石患者,根据术式不同分为对照组(47例)和观察组(67例)。观察组采用腹腔镜下胆道镜联合体内冲击波碎石治疗,对照组采用开腹手术治疗。观察比较两组患者的手术时间、术中出血量、胆漏发生率、术后残石率、术后尿管撤出时间、住院时间、住院费用。结果观察组患者的手术时间(98.02±11.52)min、术后尿管撤出时间(12.96±3.84)h、住院时间(7.36±2.31)d均短于对照组的(124.16±15.84)min、(28.92±5.36)h、(12.52±5.46)d,术中出血量(50.62±16.86)ml少于对照组的(136.62±15.42)ml,差异具有统计学意义(P<0.05);观察组患者的胆漏及术后残石发生率均低于对照组,差异具有统计学意义(P<0.05);两组住院费用比较差异无统计学意义(P>0.05)。结论腹腔镜下胆道镜联合体内冲击波碎石治疗胆总管结石的效果显著,具有创伤性小、术后恢复快、预后良好、经济等优点,值得进一步研究应用。
Objective To analyze the effect of laparoscopic choledochoscopy combined with internal shock wave lithotripsy in patients with common bile duct stones. Methods A total of 114 patients with common bile duct stones were divided by different surgeries into control group（47 cases） and observation group（67 cases）. The observation group received laparoscopic choledochoscopy combined with internal shock wave lithotripsy, and the control group received open surgery. Observation and comparison were made on operation time, intraoperative bleeding volume, bile leakage rate, postoperative residual stone rate, postoperative catheter withdrawal time, hospitalization time and hospitalization expenses between the two groups. Results The observation group had shorter operation time as（98.02±11.52） min, postoperative catheter withdrawal time as（12.96±3.84） h and hospitalization time as（7.36±2.31） d than（124.16±15.84） min,（28.92±5.36） h and（12.52±5.46） d in the control group, and less intraoperative bleeding volume as（50.62±16.86） ml and hospitalization expenses as（15212.96±846.87） yuan than（136.62±15.42） ml and（14062.64±704.51） yuan in the control group. The differences were statistically significant（P〈0.05）. The observation group had lower bile leakage rate, postoperative residual stone rate than the control group, and the differences were statistically significant（P〈0.05）. Conclusion Combination of laparoscopic choledochoscopy and internal shock wave lithotripsy shows remarkable effect in treating common bile duct stones, and it has the advantages of small traumatic, quick recovery, good prognosis and economy. It is worth further research and application.
出处
《中国现代药物应用》
2018年第12期16-17,共2页
Chinese Journal of Modern Drug Application
基金
完全腹腔镜下联合软式
硬式胆道镜
体内冲击波碎石系统胆总管切开取石术的临床研究(项目编号:社发[2016]40)
关键词
胆总管结石
腹腔镜
胆道镜
体内冲击波碎石
Common bile duct stones
Laparoscopic
Choledochoscopy
Internal shock wave lithotripsy
