摘要
目的探究腹腔镜胆总管切开取石一期缝合术在胆总管结石治疗中应用效果及对患者并发症的影响。方法抽选2016年6月-2019年6月广州市白云区妇幼保健院收治的胆总管结石患者68例为研究对象,据随机数字法分为2组,各34例,均行腹腔镜胆总管切开取石术治疗,对照组行T管引流,研究组行一期缝合。观察两组术中、术后指标及术后疼痛情况,并对比两组术后并发症发生率。结果两组术中出血量无明显差异(P>0.05);研究组手术时间、术后首次排气(排便)、住院时间、下床时间均明显短于对照组(P<0.05),且研究组术后疼痛程度明显低于对照组,术后并发症发生率相比对照组明显更低(P<0.05)。结论腹腔镜胆总管切开取石一期缝合术可显著缩短胆总管结石患者术后康复时间,降低术后并发症发生率,应用效果显著,值得推广。
Objective To explore the effect of primary suture of laparoscopic choledocholithotomy in the treatment of choledocholithiasis and its effect on the complications of patients.Methods A total of 68 patients with choledocholithiasis admitted to the hospital from June,2016 to June,2019 were selected as the study objects.According to the random number method,they were divided into 2 groups,with 34 cases in each group.All of them received laparoscopic choledocholithotomy.The control group received T tube drainage,and the research group received primary suture.Intraoperative and postoperative indicators and postoperative pain were observed,and the incidence of postoperative complications was compared between the two groups.Results There was no significant difference in intraoperative blood loss between the two groups(P>0.05).The operation time,postoperative first exhaust(defecation),hospital stay and out-of-bed time of the study group were significantly shorter than that of the control group(P<0.05).The postoperative pain degree of the study group was significantly lower than that of the control group,and the incidence of postoperative complications was significantly lower than that of the control group(P<0.05).Conclusion Primary suture of laparoscopic choledocholithotomy can significantly shorten the postoperative recovery time of patients with choledocholithiasis,and reduce the incidence of postoperative complications.
作者
陈博飞
CHEN Bo-fei(General SurgeryDepartment,BaiyunDistrict Maternal andChildHealtli Hospital,Guangzhou,510000,China)
出处
《黑龙江医学》
2020年第6期737-740,共4页
Heilongjiang Medical Journal
