肝胆管结石运用微创技术对患者围术期下肢静脉血栓的防治效果

Effect of Minimally Invasive Technique on Prevention and Treatment of Venous Thrombosis of Lower Extremity During Perioperative Period in Patients with Hepatolithiasis

目的探讨肝胆管结石运用微创技术对患者围术期下肢静脉血栓的防治效果。方法选择2017年10月-2018年9月该院收治的60例肝胆管结石患者,依据住院顺序采用随机数字表法分为两组,每组30例,其中观察组30例行微创手术治疗,对照组30例行传统手术治疗,对比两组相关手术指标、结石清除效果、复发率及下肢静脉血栓发生率。结果对比两组相关手术参数,观察组手术时间、术中出血量和引流管留置时间均明显优于对照组,而且观察组结石清除率高于对照组,复发率及下肢静脉血栓发生率明显低于对照组,经统计学检验,各组指标均差异有统计学意义(P<0.05)。结论肝胆管结石运用微创技术治疗不仅效果突出,而且能够有效预防下肢静脉血栓的形成,临床优势显著。

Objective To study the effect of minimally invasive technique on the treatment of lower extremity venous thrombosis in patients with hepatobiliary duct stones. Methods 60 cases of hepatobiliary duct stones from Oct.2017 to September of 2018 were divided into two groups according to the order of hospital stay. The effect of stone removal, recurrence rate and the incidence of lower limb venous thrombosis. Results The operative time of the two groups was compared with that of the control group. The stone clearance rate in the observation group was higher than that in the control group, and the recurrence rate and the incidence of lower extremity venous thrombosis in the observation group were significantly lower than those in the control group(P<0.05). Conclusion Minimally invasive technique is not only effective in the treatment of hepatolithiasis, but also can effectively prevent the formation of venous thrombosis of lower extremity.