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开腹与腹腔镜胆道探查取石的临床疗效比较

Comparison of the Clinical Efficacy of Open and Laparoscopic Bile Duct Exploration Stone
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摘要 目的探讨开腹与腹腔镜胆道探查取石的临床疗效。方法选取胆总管结石患者156例,数字随机分为观察组和对照组各78例。对照组给予传统开腹手术联合胆总管切开探查取石术治疗,观察组给予腹腔镜胆囊切除术联合胆总管切开探查取石术治疗。对两组术中出血量、手术时间、术后胃肠功能恢复时间、术后住院时间以及并发症发生情况进行观察。结果观察组患者术中出血量显著少于对照组(t=31.042,P<0.05),观察组手术时间明显长于对照组(t=9.266,P<0.05),观察组术后胃肠功能恢复时间及术后住院时间均显著短于对照组(t=42.967,t=14.893,P<0.05),观察组并发症发生率为8.97%,明显低于对照组的38.46%(χ2=18.743,P<0.05)。结论腹腔镜胆囊切除术联合胆总管切开探查取石术治疗胆总管结石创伤小,患者恢复快,并发症少,是安全有效的,值得推广与使用。
作者 吕孝卫
出处 《现代诊断与治疗》 CAS 2015年第1期19-20,共2页 Modern Diagnosis and Treatment
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