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腹腔镜手术对胆囊结石合并胆总管结石患者的临床作用 被引量:11

Clinical Effect of Laparoscopic Surgery on Patients with Cholecystolithiasis and Choledocholithiasis
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摘要 目的:研究并探讨腹腔镜手术对胆囊结石合并胆总管结石患者的临床作用。方法:选取2013年1月至2015年12月104例胆囊结石合并胆总管结石患者作为研究对象,遵循单盲随机分配原则随机将患者分为两组,对照组49例患者接受传统开腹取石手术,观察组55例患者接受腹腔镜胆囊切除联合胆道探查术,比较两组手术情况、术后情况以及随访情况。结果:手术情况方面,观察组手术用时与对照组较为接近(P>0.05),观察组手术切口长度、术中失血量均明显低于对照组(P<0.05);术后情况方面,观察组排气恢复时间、下床活动时间、住院总时间相对于对照组均明显缩短(P<0.05),且其并发症发生率明显低于对照组(P<0.05);相比于对照组,观察组对手术的满意度明显更高(P<0.05);随访发现,观察组的结石复发率相比于对照组明显更低(P<0.05)。结论:对胆囊结石合并胆总管结石患者实施腹腔镜手术治疗可有效减轻术中机体受创,减少术后并发症,有利于加快术后恢复,还可减少复发,有利于改善预后。 Objective: To study and evaluate the clinical effects of laparoscopic surgery on patients with cholecystolithiasis and choledocholithiasis. Methods: 104 cases of cholecystolithiasis and choledocholithiasis patients in the hospital from January 2013 to December 2015 were selected as the research object,the patients were randomly divided into two groups by following by single blind random allocation principle,the control group(49 patients) received traditional open stone surgery,the observation group(55 patients) received laparoscopic cholecystectomy combined with biliary exploration,the situation of surgery,postoperative and follow-up were compared between two groups. Results: In the operation situation,the operation time in the observation group and the control group was closely(P 0.05),the incision length and intraoperative blood loss in the observation group were significantly lower than the control group(P 0.05); in the postoperative situation,the recovery time,ambulation time and hospitalization time in the observation group were significantly shortened than the control group(P 0. 05),and the complication rate was significantly lower than the control group(P0.05); compared with the control group,the satisfaction of operation in the observation group was significantly higher(P 0.05); in follow-up situation,the recurrence rate in the observation group was significantly lower than the control group(P 0.05). Conclusions: Laparoscopic surgery treatment can effectively reduce the operation machine body hit on the patients with cholecystolithiasis and choledocholithiasis,reduce postoperative complications,is propitious to accelerate the postoperative recovery,also can reduce the relapse rate and improve the prognosis.
作者 李恩忠 谢福生 张倩 李川 秦华娟 LI Enzhong;XIE Fusheng;ZHANG Qian(Luanping Hospital of Traditional Chinese Medicine,Hebei Luanping 068250,Chin)
出处 《河北医学》 CAS 2018年第8期1362-1365,共4页 Hebei Medicine
基金 河北省承德市科学技术研究与发展计划项目 (编号:201701A105)
关键词 胆囊结石 胆总管结石 腹腔镜 Cholecystolithiasis Choledocho lithiasis Laparoscopy
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  • 1傅聿铭.腹腔镜联合胆道镜治疗胆结石68例[J].湖南中医药大学学报,2011,31(10):55-56. 被引量:19
  • 2龚彪.改良内镜下乳头气囊扩张术应用的可行性研究[J].中华消化内镜杂志,2006,23(6):407-409. 被引量:25
  • 3Schirmer BD, Winters KL, Edlich RF. Chole- lithiasis and cholecystitis [ J ]. J Long Term Eft Med Implants, 2005, 15 (3): 329 - 338.
  • 4Parra- Membrives P, Diaz- Gomez D, Vile- gas- Portero R, et al. Appropriate manage- ment of common bile duct stones: A RAND Corporation/UCLA Appropriateness Method statistical analysis [ J ]. Surgical Endoscopy, 2010, 24 (5): 1187-1194.
  • 5Mouret P. How I developed laparoscopic chole- cystectomy [ J ]. Annals of the Academy of Medicine Singapore, 1996, 25 (5) : 744.
  • 6Stoker ME. Common bile duct exploration in the era of laparoscopic surgery [ J ]. Arch Surg, 1995, 130 (3): 265-269.
  • 7Phillips EH, Rosenthal RJ, Carroll BJ, et ak Laparoscopic trans - cystic - duct common - bile - duct exploration [ J ]. Surgical Endos- copy, 1994, 8 (12): 1389-1394.
  • 8Tzovaras G, Baloyiannis I, Zachari E, et al. Laparoendoscopic rendezvous versus preopera- tive ERCP and laparoscopie eholeeysteetomy for the management of cholecysto - choledo- cholithiasis: interim analysis of a controlled randomized trial [ J ]. Annals of Surgery, 2012, 255 (3): 435-439.
  • 9Oh HC, Cheon YK, Cho YD, et al. Use of udenafil is not associated with a reduction in post - ERCP panereatitis: results of a ran- domized, placebo - controlled, multicenter trial [ J ]. Gastrointestinal Endoscopy, 2011, 74 (3): 556-562.
  • 10Ghazal AH, Sorour MA, E1 - Riwini M, et al. Single - step treatment of gall bladder and bile duct stones: A combined endoscopic - lapa- roscopic technique [ J ]. International Jour- nal of Surgery, 2009, 7 (4): 338-346.

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