曹海明. 腹腔镜联合胆道镜与传统开腹手术治疗胆总管结石的临床疗效比较[J]. 蚌埠医学院学报, 2020, 45(1): 71-73, 77. DOI: 10.13898/j.cnki.issn.1000-2200.2020.01.018
    引用本文: 曹海明. 腹腔镜联合胆道镜与传统开腹手术治疗胆总管结石的临床疗效比较[J]. 蚌埠医学院学报, 2020, 45(1): 71-73, 77. DOI: 10.13898/j.cnki.issn.1000-2200.2020.01.018
    CAO Hai-ming. Comparative study on the clinical effectiveness between laparoscopy combined with choledochoscopy and traditional open surgery in the treatment of common bile duct stones[J]. Journal of Bengbu Medical College, 2020, 45(1): 71-73, 77. DOI: 10.13898/j.cnki.issn.1000-2200.2020.01.018
    Citation: CAO Hai-ming. Comparative study on the clinical effectiveness between laparoscopy combined with choledochoscopy and traditional open surgery in the treatment of common bile duct stones[J]. Journal of Bengbu Medical College, 2020, 45(1): 71-73, 77. DOI: 10.13898/j.cnki.issn.1000-2200.2020.01.018

    腹腔镜联合胆道镜与传统开腹手术治疗胆总管结石的临床疗效比较

    Comparative study on the clinical effectiveness between laparoscopy combined with choledochoscopy and traditional open surgery in the treatment of common bile duct stones

    • 摘要:
      目的比较腹腔镜联合胆道镜与传统开腹手术治疗胆总管结石的临床疗效。
      方法选取手术治疗胆总管结石的病人80例,其中腹腔镜联合胆道镜治疗40例作为微创组,传统开腹手术40例作为对照组,比较2组手术效果。
      结果80例手术均获得成功。2组手术时间差异无统计学意义(P>0.05);但微创组手术术中出血量、术后排气时间及住院时间均显著优于对照组(P < 0.01),术后2组并发症发生率差异无统计学意义(P>0.05)。
      结论腹腔镜联合胆道镜治疗胆总管结石具有术中出血少、术后胃肠道排气时间短、住院时间明显缩短以及术后各种并发症少等优点,是临床上治疗胆总管结石安全有效的手术方式。

       

      Abstract:
      ObjectiveTo compare the clinical effectiveness between laparoscopy combined with choledochoscopy and traditional open surgery in the treatment of common bile duct stones.
      MethodsEighty patients with common bile duct stones treated with operation were selected.Forty cases treated with laparoscopy combined with choledochoscopy and 40 cases treated with traditional open operation were divided into the minimally invasive group (MIE group) and control group, respectively.The operation effects were compared between two groups.
      ResultsAll surgeries of 80 cases were successful.The difference of the operation time between two groups was not statistically significant (P>0.05).The bleeding volume, postoperative exhausting time and time of hospitalization MIE group were significantly better than those in control group (P < 0.01), and the difference of the incidence rate of complications was not statistically significant (P>0.05).
      ConclusionsThe laparoscopy combined with choledochoscopy in treating common bile duct stones is less bleeding volume, short postoperative gastrointestinal exhaustion time, less hospitalization time and less postoperative complications, which is a safe and effective method in the treatment of common bile duct stones in clinic

       

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