腹腔镜下胆总管切开取石术治疗胆总管结石的临床效果

The Clinical Effect of Laparoscopic Common Bile Duct Exploration on the Treatment of Common Bile Duct Stones

目的探讨分析腹腔镜下胆总管切开取石术治疗胆总管结石的临床效果。方法选择2014年6月~2015年6月在我院行手术治疗的68例胆总管结石患者作为研究对象,将其随机平均分为观察组和对照组,比较观察组和对照组患者的手术情况。结果观察组患者的手术时间（93.2±9.9）min、术中出血量（51.5±8.0）ml、胃肠道功能恢复时间（1.5±0.4）d和总住院时间（6.1±1.1）d均低于对照组的手术时间（112.8±19.0）min、术中出血量（133.9±26.7）ml、胃肠道功能恢复时间（2.7±0.8）d和总住院时间（9.9±4.8）d;差异具有统计学意义（P〈0.05）。观察组患者疼痛（10,29.41%）、切口感染（0,0.00%）、结石残余（2,5.88%）和胆瘘（1,2.94%）的发生率均低于对照组（26,76.47%;4,11.76%;5,14.71%;5,14.71%）,差异有统计学意义（P〈0.05）。结论与开腹胆总管切开取石术相比,腹腔镜胆总管切开取石术具有微创、有效、安全、住院时间短等优点。

Objective To study the analysis of laparoscopic common bile duct incision stone extraction for clinical effect for the treatment of common bile duct calculi. Methods 68 cases of surgical treatment of common bile duct calculi patients as the research object from June 2014 to June 2015 in our hospital, its randomly divided into observation group and control group, operation of the group and the control group patients were studied. Results observation group of patients with operation time（93.2±9.9） min, intraoperative blood loss,（51.5±8.0） ml, gastrointestinal function recovery time and the total length of hospital stay（1.5±0.4） d and（6.1±1.1） d were significantly lower than the control group of operation time（112.8±19.0） min, intraoperative blood loss,（133.9± 26.7） ml, gastrointestinal function recovery time and the total length of hospital stay（2.7±0.8） d and（9.9±4.8）d. With significant difference statistically significant（P〈 0.05）. Observation group of patients（10, 29.41%） pain, infection of incision, increase of（0, 0.00%）, calculi residual（2, 5.88%） and the incidence of biliary fistula（1, 2.94%） were significantly lower than the control group（26, 76.47%, 4, 11.76%, 5, 14.71%, 5, 14.71%）, obvious difference（P〈 0.05）. Conclusion Compared with the cut open common bile duct stone extraction for laparoscopic common bile duct incision nephrolithotomy with minimally invasive, effective and safe, and the advantages of shorter hospitalization time.