摘要
目的评价腹腔镜胆总管探查取石术治疗复杂性肝胆管结石患者的临床疗效及优势。方法选择2019年5月至2020年2月我院收治的104例复杂性肝胆管结石疾病患者,经伦理委员会批准后,采用随机法进行分组,每组52例。对照组患者采取开腹胆总管探查取石术治疗,观察组患者采取腹腔镜胆总管探查取石术治疗。比较两组患者的手术指标、并发症发生情况及生活质量。结果观察组手术时间短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05);观察组胆汁渗漏等并发症发生率低于对照组(P<0.05);观察组患者生活质量综合评定问卷(GQOLI-74)量表评分高于对照组(P<0.05)。结论腹腔镜胆总管探查取石术治疗复杂性肝胆管结石患者的整体优势显著,可缩短手术时间,减少术中出血量,提高患者的生活质量。
Objective To evaluate the clinical efficacy of laparoscopic common bile duct exploration and lithotomy in the treatment of complex hepatolithiasis and the advantages.Methods From May 2019 to February 2020,104 patients with complicated hepatolithiasis in our hospital were randomly divided into groups with the approval of ethics committee.After the approval of the ethics committee,the randomization method was used for grouping,52 cases in each group.The control group was treated with open common bile duct exploration and lithotomy,while the observation group was treated with laparoscopic common bile duct exploration and lithotomy.The operation indexes,complications and quality of life were compared between the two groups.Results The operation time of the observation group was shorter than that of the control group,and the amount of intraoperative blood loss was less than that of the control group.The difference was statistically significant(P<0.05).The incidence of complications such as bile leakage in the observation group was lower than that of the control group(P<0.05);The scores on the generic quality of life inventory-74(GQOLI-74)of patients in the group were higher than those in the control group(P<0.05).Conclusion Laparoscopic choledocholithotomy has significant advantages in the treatment of complex hepatolithiasis,which optimizes the operation related indexes and improves the quality of life of patients.
作者
谭振刚
胡世国
张华清
蔡东昊
TAN Zhengang;HU Shiguo;ZHANG Huaqing;CAI Donghao(Department of General Surgery,966 hospital,Joint Logistics Support Force,Chinese People's Liberation Army,Dandong 118000,China)
出处
《中国医药指南》
2021年第3期71-72,共2页
Guide of China Medicine
关键词
复杂性肝胆管结石
腹腔镜胆总管探查取石术
并发症
生活质量
Complex hepatolithiasis
Laparoscopic common bile duct exploration and extraction
Complications
Quality of life