腹腔镜胆与开腹胆总管切开取石临床疗效对比研究

Comparative study of contemporaneous laparoscopic common bile duct exploration and open choledocholithotomy

目的分析比较同期腹腔镜胆总管切开取石与开腹胆总管切开取石的临床疗效。方法选取2013年1月至2017年12月在我院行腹腔镜胆总管切开取石的48例患者及同期行开腹胆总管切开取石的51例患者,对两组患者在手术指标及术后并发症等方面进行比较。结果通过对比,腹腔镜组与开腹组在手术时间方面没有差异(P> 0. 05),但在术中出血量、疼痛评分、术后肠功能恢复时间及术后住院时间方面明显优于开腹组(P <0. 05),开腹组术后并发症发生率明显高于腹腔镜组,开腹组主要并发症为切口感染。结论腹腔镜胆总管切开取石术与开腹胆总管切开取石术同样安全、可靠,但在术中指标及术后恢复方面明显优于开腹手术,值得临床推广。

Objective To compare the clinical efficacy between laparoscopic common bile duct exploration and open choledocholithotomy.Methods Forty-eight cases of patients with laparoscopic common bile duct exploration and Fifty-one with open choledocholithotomy admitted in our hosiptal from January 2013 to December 2017 were chosen as the study objects.The surgery indexes and incidence rate of complications in the two groups were observed and compared.Results The difference in operation time between the two groups was not significant (P >0.05 ),the blood loss,the score of postoperative pain,recovery time of gastrointestinal functions and length of hospital stays of laparoscope were significantly better than those of the laparotomy group (P <0.05 ),the postoperative complication of laparoscope were significantly less than those of laparotomy group (P <0.05 ),the major postoperative complication of laparotomy group were incision infection.Conclusion Both laparoscopic common bile duct exploration and open choledocholithotomy were safe and effective for the treatment of gallbladder stones with common bile duct stones.,but the laparoscope were significantly better than the laparotomy in the surgery indexes and incidence rate of complication,which is worthy of clincial promotion.