[1]张建民,柴 源,曹汉彬,等.腹腔镜与开腹胆总管切开取石T管引流术治疗胆总管结石疗效对比研究[J].陕西医学杂志,2019,(8):994-996.
　ZHANG Jianmin,CHAI Yuan,CAO Hanbin,et al.The clinical efficacy analysis of laparoscopy versus choledocholithotomy plus T tube drainage in treating choledocholithiasis[J].,2019,(8):994-996.
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腹腔镜与开腹胆总管切开取石T管引流术治疗胆总管结石疗效对比研究
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
期数:
2019年8期
页码:
994-996
栏目:
临床研究
出版日期:
2019-08-05

文章信息/Info

Title:
The clinical efficacy analysis of laparoscopy versus choledocholithotomy plus T tube drainage in treating choledocholithiasis
文章编号:
DOI:10.3969/j.issn.1000-7377.2019.08.009
作者:
张建民; 柴 源; 曹汉彬; 王长庆; 王 华; 赵 伟; 秦占坤; 冉文斌
甘肃省庆阳市长庆油田职工医院（庆阳 745100）
Author(s):
ZHANG Jianmin;  CHAI Yuan;  CAO Hanbin; et al.
Changqing Oilfield Worker’s Hospital, Qingyang City, Gansu Province(Qingyang 745100)
关键词:
腹腔镜; 开腹手术; 胆总管结石; 胆总管探查; T管引流; 疗效比较
Keywords:
Key words Laparoscopy;  Open surgery;  Choledocholithiasis;  Choledochotomy;  T tube drainage;  Efficacy analysis
分类号:
R657.42
文献标志码:
A
摘要:
摘 要 目的：比较腹腔镜胆总管切开取石T管引流术和开腹胆总管切开取石T管引流术在治疗胆总管结石中的临床疗效。方法：回顾性分析住院行手术治疗的胆总管结石患者55例的临床资料，依照手术方式的不同分为腹腔镜组（35例）和开腹组（20例），比较两组手术时间、出血量、术后住院时间、术后禁食时间、住院费用、术后并发症等相关临床指标。结果：开腹组和腹腔镜组在手术时间、术后进食时间、术后住院时间以及住院费用上的差异均无统计学意义（P>0.05）；开腹组出血量为(175.50±209.97) ml，腔镜组出血量为(33.71±21.16) ml，两组比较差异有统计学意义（P＜0.05）。结论：腹腔镜胆总管切开取石T管引流术治疗胆总管结石创伤小，安全、有效。
Abstract:
Abstrac Objective：To compare the clinical efficacyof laparoscopy versus open choledocholithotomy plus T tube drainage for the treatment of choledocholithiasis.Methods:30 patients with choledocholithiasis undergoing surgical treatment were evaluated. Patients were divided into laparoscopiclithotomy of common bileduct plus Ttube drainage group(n=19) and open surgery(n=11). The clinical effects of the open and laparoscopic approaches were compared and analyzed.Results:The difference was not statistically significant in operation time, fasting time, length of stay, hospitalization costs, residual stone rate, bile leakage, incisional infection, between the two groups（P>0.05）. Intraoperative blood loss in open surgery group was (175.50±209.97)ml，and in laparoscopy group was (33.71±21.16) ml. While intraoperative bloodloss were in favor oflaparoscopy group with statistically significant difference(P＜0.05). Conclusion For the treatment of choledocholithiasis, it was feasible and effective for laparoscopic lithotomy of common duct plus T tube drainage.

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更新日期/Last Update: 2019-08-13