摘要
目的:对比分析三种不同术式治疗胆囊结石合并胆总管结石的疗效。方法:将102例胆囊结石合并胆总管结石患者随机分为3组,A组行腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)+胆总管探查术(laparoscopic common bile ductexploration,LCBDE);B组行传统开腹胆囊切除术(open cholecystectomy,OC)+胆总管探查术(open common bile duct explora-tion,OCBDE);C组行LC联合内镜下Oddi括约肌切开取石术(endoscopic sphincterotomy,EST)。对比分析3组患者的手术时间、术中出血量、术后疼痛程度、术后肠功能恢复时间、并发症发生率、术后恢复工作时间、术后T管拔除时间、住院时间等情况。结果:A组手术指标明显优于B、C两组。结论:腹腔镜胆囊切除联合胆总管探查术安全可行。
Objective:To compare the effectiveness of three different kinds of operation in the treatment of cholecystolithiasis and choledocholithiasis.Methods:One hundred and two patients with cholecystolithiasis choledocholithiasis were randomly divided into three groups,group A:laparoscopic cholecystectomy and common bile duct exploration(LC+LCBDE),group B:cholecystoctomy and common bile duct exploration under laparotomy(OC+OCBDE),group C:LC and endoscopic sphincterotomy(LC+EST).Then the operative time,blood loss,pain score,time for resumption of intestinal function,incidence of postoperative complications,the time for returning to work after surgery,duration of T-tube and the average time in hospital among 3 groups were compared.Results:Group A was significantly superior to group B and C.Conclusions:LC and LCBDE is safe and feasible.Furthermore,it is minimally invasive.
出处
《腹腔镜外科杂志》
2011年第4期289-290,共2页
Journal of Laparoscopic Surgery
关键词
胆囊结石病
胆总管结石
胆囊切除术
腹腔镜
胆总管探查术
Cholecystolithiasis
Choledocholithiasis
Cholecystectomy
laparoscopic
Common bile duct exploration