摘要
目的分析经胆囊管汇入部途径球囊扩张治疗继发胆总管结石的应用效果。方法回顾性纳入本院2018年1月-2021年11月收治的80例胆总管继发结石患者作为研究对象,根据手术入路方式将其分为球囊扩张组(36例)和微切开组(44例),球囊扩张组所有患者均球囊扩张胆囊管汇入部胆道镜经胆囊管胆总管取石手术,微切开组胆囊管切开后加胆总管微切开后使用胆道镜经切开处胆总管取石手术。比较2组患者手术时间、术中出血量、术后引流量、住院时间、并发症发生率及手术满意度。结果2组患者均顺利完成手术,术后2组患者在手术时间、术中出血量、术后引流量、并发症发生率及手术满意度对比无统计学意义(P>0.05),但球囊扩张组住院时间显短于微切开组,差异有统计学意义(P<0.05)。结论腹腔镜下经胆囊管球囊扩张胆总管取石具有患者住院时间短、满意度高、术后并发症少而轻等优点,值得推广应用。
Objective To analyze the effect of balloon dilatation via the cystic duct inlet in the treatment of common bile duct secondary choledocholithiasis.Methods A total of 80 patients with secondary choledocholithiasis treated in our hospital from January 2018 to November 2021 were retrospectively included as the research subjects.According to the surgical approach,they were divided into the balloon dilation group(36 cases)and the microincision group(44 cases),all patients in the balloon dilatation group underwent balloon dilation choledochotomy via the cystic duct inlet under laparoscope,all patients in the microincision group underwent choledochotomy by using choledochoscope via the cut after a microincision of the common bile duct.The operation time,intraoperative blood loss,postoperative drainage volume,hospital stay,incidence rate of the complications and operation satisfaction were compared between the two groups.Results The patients of two groups completed the operation successfully.There was no statistical significance in the operation time,intraoperative blood loss,postoperative drainage volume,incidence rate of the complications and operation satisfaction between the two groups after operation(P>0.05).The hospital stay in balloon dilation group was significantly shorter than that in the microincision group(P<0.05).Conclusions balloon dilatation choledochotomy via cystic duct under laparoscope has the advantages of short hospital stay,high patient satisfaction and less complications,which is worthy of popularization and application.
作者
刘培万
徐安书
侯勇
杨晓宾
傅朝春
叶蕊
LIU Peiwan;XU Anshu;HOU Yong;YANG Xiaobin;FU Chaochun;YE Rui(Department of Minimally Invasive Hepatobiliary Surgery,Qujing Municipal First People's Hospital,Qujing Yunnan 655000,China;Department of Gastrointestinal Surgery,Qujing Municipal First People's Hospital,Qujing Yunnan 655000,China;Department of Infectious Disease,Qujing Municipal First People's Hospital,Qujing Yunnan 655000,China)
出处
《云南医药》
CAS
2024年第1期19-22,共4页
Medicine and Pharmacy of Yunnan
基金
云南省重点研发计划项目(2018IB007-W003)。
关键词
腹腔镜
胆道镜
球囊扩张
胆总管继发结石
laparoscope
choledochoscope
balloon dilation
secondary bile duct stones
