腹腔镜治疗胆总管结石的临床效果观察

Clinical Effect of Laparoscopic Treatment of Common Bile Duct Stones

目的探讨与观察腹腔镜治疗胆总管结石的临床效果。方法选取我院于2008年6月至2013年6月收治的胆总管结石患者96例,随机分成行腹腔镜治疗和开腹手术两组,每组分别为51例和45例,把两组患者进行手术后的情况、手术恢复的情况和发生并发症的概率等相比较。结果行腹腔镜组不论是手术当中的出血量还是手术之后的胃肠道恢复和住院时间都明显优于开腹手术组(P<0.05),而两组在手术之后的并发症、手术的时间以及取胆总管结石的成功率上比较差异没有统计学意义(P>0.05)。结论与开腹手术相比较而言,腹腔镜手术的住院时间比较短、对患者的创伤小以及恢复的速度相对较快,值得临床推广。

Objective To study and observation of laparoscopic common bile duct stones clinical effects. Methods The hospital in June 2008 to June 2013 choledocholithiasis admitted 96 patients were randomly divided into treatment and laparoscopic abdominal surgery two groups were 51 cases and 45 cases, the two groups case of patients after surgery, surgery recovery situation and risk of complications compared with other. Results The laparoscopic group, whether or amount of bleeding during surgery gastrointestinal recovery after surgery and hospitalization time were significantly better than the open surgery group（P 0.05）, while the two groups after surgery complications, surgery time, and the success rate of common bile duct stones taken to compare the difference was not statistically significant（P〈0.05）. Conclusions In comparison with open surgery, laparoscopic surgery hospitalization relatively short time, the patient trauma and recovery is relatively fast, worthy of promotion.