摘要
目的探讨内镜逆行胰胆管造影(ERCP)与腹腔镜胆总管切开取石术(LCBDE)应用于胆总管结石患者胃肠功能恢复及复发率的对比。方法选择2020年1月—2022年1月本院收治的62例胆总管结石患者作为研究对象,按随机数表法分为观察组(32例)和常规组(30例)两组。观察组采用腹腔镜胆囊切除术+LCBDE治疗,常规组采用腹腔镜胆囊切除术+ERCP治疗。对比两组患者手术时间、住院时间、视觉模拟疼痛评分(VAS)及胃肠功能恢复、住院期间复发情况。结果观察组患者手术时间、住院时间均短于常规组,差异均具有统计学意义(P<0.05);两组患者术后VAS评分比较,差异有统计学意义(P<0.05);观察组患者术后VAS评分低于常规组,差异有统计学意义(P<0.05);观察组患者术后首次进食时间、术后肛门首次排气时间以及术后首次排便时间均短于常规组,差异有统计学意义(P<0.05);观察组患者住院期间复发总发生率(9.68%)低于常规组(29.03%),差异有统计学意义(P<0.05)。结论与ERCP治疗相比,LCBDE治疗胆总管结石患者可缩短术时间、住院时间,可降低术后疼痛感,促进胃肠功能恢复,降低术后复发率,值得推广应用。
Objective To compare the recovery of gastrointestinal function and recurrence rate of patients underwent endoscopic retrograde cholangiopancreatography(ERCP)and laparoscopic common bile duct exploration(LCBDE).Methods A total of 62 patients suffered with common bile duct stones those were treated in our hospital from January 2020 to January 2022 were enrolled as study subjects,and according to random number table method they were divided into observation group(n=32)and control group(n=30).Patients in observation group received laparoscopic cholecystectomy and LCBDE for treatment,and patients in routine group adopted laparoscopic cholecystectomy combined with ERCP.The operation time,hospital stay,score of visual analogue scale(VAS),gastrointestinal function recovery and recurrence during hospitalization were compared between the two groups.Results The operation time and hospital stay of the observation group were shorter than those of the routine group(P<0.05).The difference in VAS score between the two groups was statistically significant(P<0.05),and the postoperative VAS score of the observation group was lower than that of the routine group(P<0.05).The time of the first postoperative eating,the first postoperative anal exhaust and the first postoperative defecation in the observation group were shorter than those in the routine group(P<0.05).The total incidence of recurrence in the observation group(9.68%)was lower than that(29.03%)in the routine group(P<0.05).Conclusions Compared with ERCP,LCBDE for the treatment of choledocholithiasis could shorten the operation time and hospital stay,reduce postoperative pain,promote the recovery of gastrointestinal function and reduce the postoperative recurrence rate.It is worthy of popularization and application.
作者
陈德忠
常剑
Chen Dezhong;Chang Jian(Department of general surgery,Suzhou Jiulong hospital,Medical school of Shanghai Jiaotong University,Suzhou,Jiangsu,215000,China)
出处
《齐齐哈尔医学院学报》
2022年第16期1538-1541,共4页
Journal of Qiqihar Medical University
关键词
内镜逆行胰胆管造影
腹腔镜胆总管切开取石术
胆总管结石患者
胃肠功能恢复
复发率
Endoscopic retrograde cholangiopancreatography
Laparoscopic common bile duct exploration
Patients with choledocholithiasis
Recovery of gastrointestinal function
Recurrence rate