微创手术治疗肝胆管结石患者的临床疗效

Clinical Efficacy of Minimally Invasive Surgery for Hepatolithiasis

目的观察微创手术治疗肝胆管结石患者临床疗效。方法本次研究挑选的66例肝胆管结石患者均为我院2018年1月至2019年7月所收治,按照患者入院顺序单双分成2组,每组各33例,对照组患者手术方式为传统开腹手术,研究组为微创手术治疗,对比两组临床疗效。结果在手术时间上比较研究组长与对照组,数据比较P<0.05具有统计学意义;在术中出血量、下床活动时间、胃肠道蠕动恢复时间、住院时间上比较研究组明显优于对照组患者,数据比较P<0.05具有统计学意义。研究组患者残石率、并发症率、复发率均为3.03%,对照组患者残石率、并发症率、复发率分别为15.15%、27.27%、18.18%,数据比较P<0.05具有统计学意义。结论微创手术治疗肝胆管结石患者不仅临床疗效高,复发率、并发症发生率以及残石率均较低,临床疗效显著,值得临床推广使用。

Objective To observe the clinical effect of minimally invasive surgery for hepatolithiasis.Methods 66 patients with hepatolithiasis selected in this study were treated in our hospital from January 2018 to July 2019.According to the order of admission,they were divided into two groups,33 cases in each group.The operation mode of the control group was traditional laparotomy,while that of the study group was minimally invasive surgery.The clinical effects of the two groups were compared.Result Compared with the control group in operation time,the data of the study group were significantly better than those of the control group in bleeding volume,time of getting out of bed,recovery time of gastrointestinal peristalsis and hospital stay,and the data were significantly better than those of the control group(P<0.05).The residual stone rate,complication rate and recurrence rate of the study group were all 3.03%.The residual stone rate,complication rate and recurrence rate of the control group were 15.15%,27.27%and 18.18%,respectively.The data were statistically significant(P<0.05).Conclusion Minimally invasive surgery for hepatolithiasis has not only high clinical efficacy,but also low recurrence rate,complication rate and residual stone rate,it is worthy of clinical application.