腹腔镜治疗胆总管结石的临床效果研究

The clinical evaluation on the choledochalithotomy by laparoscopic surgery

目的:观察比较开腹T管引流术(OCHTD)和腹腔镜胆总管切开探查取石术(LCBDE)两种手术治疗胆总管结石的效果。方法:通过回顾性分析对本院2001～2010年10年间行LCBDE术与同期行OCHTD术的患者212例,通过比较手术时间、术中出血止痛针剂使用次数、肠蠕动恢复时间,评价治疗效果。结果:与OCHTD相比,LCBDE术中出血、术后镇痛次数、胃肠道恢复时间以及住院时间均低于前者(P<0.05),而两种手术所用时间无明显差异(P>0.05)。结论:LCBDE术式微创,临床效果好,能取代大部分开腹胆总管探查术,值得进一步推广。

Objective：To compare the clinical results of choledocholithotomy by laparoscopic surgery and open surgery.Methods：212 patients with choledocholithiasis underwent laparoscopic common bile duct exploration（LCBDE） from 2001 to 2010.The clinical data in the two groups,such as operation time,blood loss,the number of injection pain,bowel recov ery time,one stone clearance rate and the number of cases complications occurred,were analyzed comparatively.Results：Comparing to OCHTD,LCBDE was less in blood loss,the number of injection pain,bowel recovery time（P0.05）.However,there were no difference in operation time and once stone clearance rate（P0.05）.Conclusion：LCBDE have advantage in minimally invasive surgical procedures and clinical effect,and could replace the common bile duct exploration laparoto my in the future.Therefore,it should be worthy of further promotion.