摘要
目的探讨腹腔镜和胆道镜联合手术治疗结石性非重度急性胆管炎的临床效果。方法选取2018年1月至2020年1月我院收治的50例结石性非重度急性胆管炎患者作为研究对象,采用随机单盲法将患者分为常规组(n=25,传统开腹手术)和试验组(n=25,腹腔镜和胆道镜联合手术)。比较两组的并发症(切口感染、胆漏、结石残留)发生情况及手术相关指标。结果试验组的并发症总发生率明显低于常规组(P<0.05)。试验组的术中出血量明显少于常规组,术后排气时间、拔管时间以及住院时间明显短于常规组(P<0.05)。结论腹腔镜和胆道镜联合手术治疗结石性非重度急性胆管炎的临床效果显著,可有效降低患者术后并发症发生率,改善相关手术指标,值得临床推广应用。
Objective To explore the clinical effect of laparoscopic and choledochoscopy combined surgery in the treatment of calculous non severe acute cholangitis.Methods A total of 50 patients with calculous non severe acute cholangitis admitted in our hospital from January 2018 to January 2020 were selected as the study objects.The patients were divided into routine group(n=25,traditional open surgery)and experimental group(n=25,laparoscopic and choledochoscopy combined surgery)according to randomly single blind method.The occurrence of complications(incision infection,bile leakage,stone residue)and operation related indexes of the two groups were compared.Results The total incidence of complications in the experimental group was significantly lower than that in the routine group(P<0.05).The amount of bleeding in the experimental group was significantly less than that in the routine group,and the times of exhaust,extubation and hospitalization were significantly shorter than those in the routine group(P<0.05).Conclusion Laparoscopic and choledochoscopy combined surgery in the treatment of calculous non severe acute cholangitis has a significant clinical effect,it can effectively reduce the incidence of postoperative complications and improve related surgical indexes of patients,which is worthy of clinical promotion and application.
作者
蒋鹏
苏树英
王葵
JIANG Peng;SU Shu-ying;WANG Kui(the First People's Hospital of Foshan,Foshan 528000,China)
出处
《临床医学研究与实践》
2020年第20期71-72,共2页
Clinical Research and Practice
关键词
结石性非重度急性胆管炎
腹腔镜
胆道镜
传统开腹手术
calculous non severe acute cholangitis
laparoscope
cholangioscopy
traditional open surgery
