腹腔镜联合输尿管硬镜治疗肝内外胆管结石临床分析
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【摘要】 目的 探讨肝内外胆管结石采用腹腔镜联合输尿管硬镜治疗的临床效果。方法 选择我院收治的肝内外胆管结石患者40例,随机分为对照组20例采取传统手术方法治疗,观察组20例采取腹腔镜与输尿管硬镜联合治疗,对2组临床结果进行回顾性比较分析。结果 观察组20例结石取尽率为100%,术后肺部感染1例,切口感染1例,手术平均时间(105±24)min,术后经T管造影和B超检查无残余结石;对照组20例结石取尽率为75%,15例成功,术后肺部感染30例,切口感染4例,手术平均时间(165±21)min。观察组手术成功率、平均手术时间均优于对照组,并发症发生率明显低于对照组,差异有统计学意义(P<0.05)。结论 加强手术操作的娴熟度,掌握注意事项,在肝内外胆管结石中,采用输尿管硬镜治疗具有一定的安全性和有效性,明显提高了患者的生存质量。
【关键词】 腹腔镜 输尿管硬镜 肝内外胆管结石
【中图分类号】 R657.42【文献标识码】 A【文章编号】 1674-0742(2012)01(a)-0010-02
【Abstract】 Objective To investigate the clinical effect of intrahepatic and extrahepatic bile duct stones by laparoscopy combined with ureteroscopic treatment.Methods Chose 40 cases in our hospital with intrahepatic and extrahepatic bile duct stones,randomly divided into 20 cases in control group adopted traditional operation,20 cases in observation group taken laparoscopic and rigid ureteroscope,retrospective analyzed the comparison of two groups’ clinical results.Results The extraction rate of observation group in 20 cases was 100%,postoperative pulmonary infection in 1 case,incision infection in 1 cases,average operation time was (105±24)min,after T tube cholangiography and B ultrasound examination no residual stones;the extraction rate of control group in 20 cases was 75%,15 cases were successful,postoperative pulmonary infection in 3 cases,incision infection in 4 cases,average operation time was (165±21)min ......
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