胆囊结石合并胆总管结石不同手术方法的疗效比较与分析被引量：1

下载PDF

导出

摘要目的比较分析不同手术方法对胆结石患者治疗效果,为临床工作提供参考。方法收集确诊为胆囊结石合并胆总管结石患者116例的临床资料,随机分为内镜联合腹腔镜组(EST+LC组),腹腔镜组(LC组)和开腹手术组,分别采用三种不同手术方法治疗。结果三组患者均顺利完成手术,LC组、EST+LC组与开腹组相比,手术出血量、肛门排气时间及住院时间差异均有统计学意义(P<0.05);三组间手术时间与并发症发生率比较差异无统计学意义(P>0.05);LC组与EST+LC组各观察指标相较,差异无统计学意义。结论对胆结石患者予以LC治疗或LC与EST联合治疗,同开腹手术治疗相比,更加方便安全,患者创伤小,术中的出血量少,并可缩短患者住院的时间,同时对患者机体的影响较小。而EST与LC联合更可以避免对患者产生不必要的损伤,尤其值得临床推广应用。

作者张智红

机构地区河南省渑池县中医院普外科

出处《中国实用医药》 2013年第27期128-129,共2页 China Practical Medicine

关键词胆囊结石合并胆总管结石 EST+LC LC 开腹胆囊切除术疗效

分类号 R657.4 [医药卫生—外科学]

引文网络
相关文献

参考文献6

1陈盛,简志祥,江寅,陈伟.双镜联合治疗胆囊结石合并胆总管结石的技术处理探讨——附85例分析[J].新医学,2012,43(5):297-300. 被引量：2
2于江涛,黄强,王军.腹腔镜胆道探查术与传统开腹手术治疗胆囊结石合并胆总管结石的临床价值比较[J].安徽医科大学学报,2012,47(5):615-616. 被引量：128
3陆峻逵,刘芳君.双镜联合微创手术与开腹手术对胆囊结石合并胆总管结石疗效对比研究[J].安徽医药,2012,16(6):810-812. 被引量：31
4崔鸿斌,李培武,王秉钧,魏丽娜.内镜与腹腔镜联合治疗胆囊结石合并胆总管结石的疗效[J].中国老年学杂志,2012,32(4):721-722. 被引量：49
5徐宏伟,吴坚芳,陆喜荣,王云峰,徐进康,郭吕.双镜联合微创手术与开腹手术治疗胆囊结石合并胆总管结石的对比研究[J].中华消化内镜杂志,2011,28(6):332-333. 被引量：28
6庞建卫.腹腔镜与传统外科手术治疗胆结石的疗效探讨[J].中国药物经济学,2012,(2):264-265.

二级参考文献36

1麻树人,邵晓冬,张宁,潘汝明,杨琳,宫照杰,常丽娅,赵云峰,高飞.治疗性ERCP在胆胰疾病中的应用价值[J].中华消化内镜杂志,2006,23(1):31-34. 被引量：57
2Kalimi R,Cosgrove JM,Marini c,et a1.Combined intraoperative laparscopic cholecystectomy and endoscopic retrograde cholangiopancreatography lessons from 29 cases.Surg Endosc,2000,14:232-234.
3Horstmann R.Tiwisina C,Classen C,et al.Laparoscopic versusopen appendectomy:which factors influence the decision betweenthe surgical technique?[J].Zenreabl Chir,2005,130(1):48-54.
4Yin S N,Ma H,Li Q L,et al.Primary duct closure after laparo-scopic common bile bile buct exploration:aretrospective study of302 case[J].Laparoendosco Endo Surgy,2001,6(4):205-7.
5Phillip E H.New technique for the treatment of common bile duct-calculi encountered during laparoscopic cholecystectomy[J].ProblGen Surg,1991,8(6):387.
6Fletcher D R.Percutaneous(laparoscopic)cholecystectomy andexploration of the common bile duct:the common bile duct stonere-exploration of the common bile duct:the common bile ductstonere-claimed for the surgeon[J].Aust N Z J Surg,1991,61(11):814-5.
7GURUSAMY K S, SAMRAJ K. Primary closure versus T-tube drainage after open common bile duct exploration [ J ] . Cochrane Database Syst Rev, 2007 (1): CD005640.
8ROGERS S J, CELLO J P, HORN J K, et al. Prospec- tive randomized trial of LC + LCBDE vs ERCP/S + LC for common bile duct stone disease [ J ]. Arch Surg, 2010, 145 (1) : 28-33.
9BANSAL V K, MISRA M C, GARG P, et al. A prospec-r tive randomized trial comparing two-stage versus singlestage management of patients with gallstone disease and common bile duct stones [ J ]. Surg Endosc, 2010, 24 (8) : 1986-1989.
10HANIF F, AHMED Z, SAMIE M A, et al. Lapamscopic transcystic bile duct exploration: the treatment of first choice for common bile duct stones [ J ]. Surg Endosc, 2010, 24 (7): 1552-1556.