腹腔鏡聯(lián)合膽管鏡、鈥激光治療肝內(nèi)外膽管結(jié)石的臨床探討.pdf

《腹腔鏡聯(lián)合膽管鏡、鈥激光治療肝內(nèi)外膽管結(jié)石的臨床探討.pdf》由會員上傳分享，免費在線閱讀，更多相關(guān)內(nèi)容在行業(yè)資料-天天文庫。

1、·醫(yī)護論壇中國當代醫(yī)藥2014年3月第21卷第9期腹腔鏡聯(lián)合膽管鏡、鈥激光治療肝內(nèi)外膽管結(jié)石的臨床探討殷耀華劉國生藺暉琦尹照成黃眷杰廣東省東莞市清溪醫(yī)院普外科，廣東東莞523660[摘要】目的探討腹腔鏡聯(lián)合膽管鏡、鈥激光治療肝內(nèi)外膽管結(jié)石的臨床效果。方法回顧性分析本院收治的50例肝內(nèi)外膽管結(jié)石患者，根據(jù)手術(shù)方式將所有患者分為實驗組和對照組各25例，對照組行傳統(tǒng)開腹手術(shù)，實驗組采用腹腔鏡聯(lián)合膽管鏡、鈥激光手術(shù)，比較兩組患者的臨床治療效果。結(jié)果對照組患者術(shù)中平均出血量為(310~50)ml，術(shù)后排氣

2、時間為(45~5)h，住院時間為(12~2)d，術(shù)后出現(xiàn)切口感染3例，腸粘連2例，術(shù)后行“T”管造影發(fā)現(xiàn)膽管殘留結(jié)石4例；實驗組患者術(shù)中平均出血量為(90~15)ml，術(shù)后排氣時間為(23~4)h，住院時間為(8±1．5)d，術(shù)后膽管殘留結(jié)石l例。兩組間比較，差異有統(tǒng)計學(xué)意義(P

3、(c)"0162—02Clinicalstudyoflaparoscopecombinedwithch0led0ch0sc0pe，holmiumlaserinthetreatmentofintrahepaticandextrahepaticbileductstonesYlNYao-huaLIUGuo-shengLINHui—qtYINZhao—chengHUANGJuan-fieDepartmentofGeneralSurgery，QingxiHospitalofDongguanCityinGu

4、angdongProvince，Dongguan523660，China【Abstract】ObjectiveToinvestigatetheclinicaleffectoflaparoscopycombinedwithcho1ed0choscopyandholmiumlaserinthetreatmentofintrahepaticandextrahepaticbileductstones．Methods50easesofhepatolithiasispatientsadmittedtoour

5、hospitalwereanalyzedretrospectively，andtheyweredividedintoexperimentalgroup(25cases)andcontrolgroup(25cases)accordingtotheoperationmode，controlgroupreceivedtraditionalopenoperation，theexpefi—mentalgroupusedlaparoscopecombinedwithcholedochoscope，holmi

6、umlaseroperation，theclinicaltreatmenteffectswascomparedbetweenthetwogroups．ResultsThehemorrhageduringoperationincontrolgroupwas(310~50)ml，theanusexhausttimeafteroperationwas(45_+5)h，thehospitalizationtimewas(12~2)d，postoperativeincisioninfectionwere3

7、caseandintestinaladhesionwere2cases，postoperative”T”tubewasfoundin4casesofbiliaryresidualstones．Thehemorrhageduringoperationinexperimentalgroupwas(310_+50)ml，theanusexhausttimeafteroperationwas(23~4)h，thehospitalizationtimewas(8~1．5)d，onecaseofpostop

8、erativeresidualbiliarytractstones．Comparedwiththetwogroups，thedifferencesoftwogroupswereallstatisticallysignificant(P