腹腔镜胆囊切除术治疗肝硬化胆石症疗效观察

Effect of laparoscopic cholecystectomy on cirrhosis cholelithiasis

目的:观察腹腔镜胆囊切除术(LC)治疗肝硬化胆石症的疗效。方法:84例胆石症患者分成两组,胆石症伴肝硬化患者42例作为实验组,胆石症无伴肝硬化患者42例作为对照组,均择期行腹腔镜胆囊切除术,术后对两组的临床指标进行比较。结果:实验组的手术时间、术后住院时间较对照组明显延长(P<0.01);实验组围手术期并发症、术后并发症、院外并发症I、CU住院及输血例数较对照组明显增加(P<0.01)。结论:LC治疗胆石症合并肝硬化患者是安全的,术前应做好充分准备,操作技巧熟练,术后防治并发症,可提高治疗效果。

Objective： To observe the curative effect of laparoscop iccholecystectomy（LC） on cholelithiasis patients complicated by cirrhosis.Methods： Eighty four cholelithiasis patients were divided into 2 groups,study group（42 cholelithiasis patients with cirrhosis） and control group（42 cholelithiasis patients without cirrhosis）.All patients received LC,and the clinical parameters were statistically analyzed.Results： The surgery time and the time of hospitalization after surgery of the study group was significantly longer than those of the control group（P0.01）,incidences of the perioperative complications,postoperative complication and the complications outside the hospital,patients in ICU and number of blood transfusion were significantly higher than those of the control group（P0.01）.Conclusions： With well preparation before surgery and skilled technique,LC is safe in the treatment of cholelithiasis patients complicated by cirrhosis