腹腔镜下胆总管探查术治疗胆囊结石合并胆总管结石的临床疗效和安全性分析

《腹腔镜下胆总管探查术治疗胆囊结石合并胆总管结石的临床疗效和安全性分析》由会员上传分享，免费在线阅读，更多相关内容在工程资料-天天文库。

1、腹腔镜下胆总管探查术治疗胆囊结石合并胆总管结石的临床疗效和安全性分析郑治国（武警福建省边防总队医院外科福建泉州362000）【摘要】R的：探讨腹腔镜丁胆囊切除联合胆总管探查取石一期缝合术治疗胆囊结石合并胆总管结石的疗效和安全性。方法：选取74例胆囊结石合并胆总管结石患者的临床资料进行回顾性分析，分别采用腹腔镜K胆囊切除联合胆总管探查取石一期缝合术（观察组）和腹腔镜1胆囊切除，胆总管切开取石T管引流术（对照组），观察其临床疗效和安全性。结果：观察组并发症发生率低于对照组，其差异有统计学意义（P<0.05>;观察组血清Na+,K+水平高于对照组，ALT和AST

2、水平低于对照组，其差异均有统计学意义（P<0.05）;而BUN和SCr水平两组之间差异无统计学意义（P>0.05）。结论：腔镜卜胆囊切除联合胆总管探查取石一期缝合术可干净彻底地清除结石，同时降低术后胆漏、电解质紊乱，消化功能不良等并发症，具有较好的临床疗效和安全性。【关键词】腹腔镜；胆总管探查术；胆囊结石；胆总管结石【屮图分类号】R656【文献标识码】A【文章编号】2095-1752（2016）13-0100-02Clinicalefficacyandsafetyanalysisoflaparoscopiccommonbileductexplorat

3、ioninthetreatmentofgallbladderstoneswithcommonbileductstonesZhengZhiguo.DepartmentofSurgeryPeople'sArmedPoliceFrontierCorpsHospitalinFujianProvince362000【Abstract】ObjectiveToinvestigatetheefficacyandsafetyoflaparoscopiccholecystectomycombinedwithcommonbileductexplorationinthetreatmen

4、tofgallbladderstoneswithcommonbileductstones.MethodsTheclinicaldataof74casesofpatientswithgallbladderstonescombinedwithcommonbileductstoneswereretrospectivelyanalyzed.Theclinicalefficacyandsafetyoflaparoscopiccholecystectomycombinedwithcommonbileductexploration(observationgroup)andla

5、paroscopiccholecystectomy(controlgroup)wereanalyzedrespectively.ResultsObservationgroup,thecomplicationratewaslowerthanthecontrolgroup,thedifferencehasstatisticalsignificance(P<0.05).Intheobservationgroup,serumNa+,K+levelishigherthanthatofthecontrolgroup,theALTandASTlevelswerelowe

6、rthanthecontrolgroup,thedifferenceswerestatisticallysignificant(P<0.05);andBUNandSCRlevelsbetweenthetwogroupsdifferencewasnotstatisticallysignificant(P>0.05).ConclusionLaparoscopicgallbladderresectioncombinedwithcommonbileductstonesonestagesuturecancleanthoroughlyandremovetheca

7、lculus,atthesametime,reducepostoperativebileleakage,electrolytedisturbances,digestivedysfunctionandothercomplications,withgoodclinicalefficacyandsafety.【Keywords】Laparoscopic;Commonbileductexploration;Gallbladderstones;Commonbileductstones-XX--.1a刖目胆囊结石是普外科常见病，如何干浄，安全和彻底地取净结石是选择手术方案的

8、重点［1-3］。0前治疗