新微创保胆取石临床体会

目的探讨新微创保胆取石临床体会。方法选取2007年1月～2011年10月收治的胆囊结石患者共38例,随机分为2组,其中试验组采用腹腔镜辅助下内镜保胆取石术,对照组采用标准三戳孔法进行胆囊切除。结果两组患者的手术时间、术中出血量、止痛剂使用情况、术后患者肛门排气时间、住院时间和切口感染发生率差异均无统计学意义(P>0.05);两组患者出现腹胀、消化不良或腹泻等症状差异具有统计学意义(P<0.05);两组患者胆总管结石发生率差异无统计学意义(P>0.05)。试验组术后随访均未发现胆囊结石复发。结论内镜微创保胆取石手术是一种安全且值得推广的治疗胆囊结石手段。

Objective Learn the clinic experience of new EMIC. Methods 38 patients of cholecystolithiasis from Jan 2007 to Oct 2011 divided into 2 groups. The experiment group used EMIC while the control group used three-hole method. Results The diverse of operation time, amount of bleeding, analgesic using, time of Passage of gas by anus, length of stay and wound infection have no significance （P〉0.05）. The diverse of ventosity, dyspepsia and diarrhoea of 2 group have significance （P〈0.05） while choledocholithiasis has no significance （P〉0.05）. The experiment group has no recurrence. Conclusion EMIC is a safe and effect method treating cholecystolithiasis.