首页|腹腔镜胆总管切开取石一期缝合术治疗胆总管结石的效果分析

腹腔镜胆总管切开取石一期缝合术治疗胆总管结石的效果分析

扫码查看
目的 研究腹腔镜胆总管切开一期缝合术的临床疗效.方法 方便选取2020年1月—2022年12月高邮市中医医院收治的符合入院标准的81例胆总管结石患者为研究对象,依据胆总管缝合方式不同分为对照组和观察组,其中45例对照组患者采取T管引流术,36例观察组患者采取一期缝合术.比较两组术中出血量、手术时间、术后住院时间、术后肛门排气时间、住院总费用、术后并发症发生率等.结果 两组术中出血量对比,差异无统计学意义(P>0.05).观察组手术时间、术后肛门排气时间、术后住院时间、住院总费用均少于对照组,差异有统计学意义(P均<0.05).观察组并发症发生率为13.89%,低于对照组的28.89%,差异有统计学意义(χ2=9.592,P<0.05).随访时间内两组患者均未出现结石复发.结论 腹腔镜胆总管切开一期缝合术可以减少患者痛苦、缩短手术时间、降低术后并发症发生率,从而加快术后机体的恢复,节约了部分社会资源.
Analysis of the Effect of Laparoscopic Choledochotomy with One-stage Su-ture in the Treatment of Common Bile Duct Stones
Objective To study the clinical efficacy of laparoscopic choledochotomy with one-stage suture.Methods It is convenient to select 81 patients with choledocholithiasis who met the admission criteria admitted to Gaoyou Hos-pital of Traditional Chinese Medicine from January 2020 to December 2022 as the study objects,and divided into con-trol group and observation group according to different methods of choledochal suture.Among them,45 patients in the control group underwent T-tube drainage,and 36 patients in the observation group underwent one-stage suture.The amount of intraoperative blood loss,operation time,postoperative hospital stay,postoperative anal exhaust time,total hospitalization cost and incidence of postoperative complications were compared between the two groups.Results There was no statistically significant difference in intraoperative blood loss between the two groups(P>0.05).The op-eration time,postoperative anal exhaust time,postoperative hospitalization time and total hospitalization cost in the ob-servation group were lower than those in the control group,and the differences were statistically significant(all P<0.05).The incidence of complications in the observation group was 13.89%,which was lower than 28.89%in the con-trol group,and the difference was statistically significant(χ2=9.592,P<0.05).Conclusion Laparoscopic choledo-chotomy with one-stage suture can reduce patient's pain,shorten the operation time,and reduce the incidence of post-operative complications,thus accelerating the recovery of the postoperative organism and saving some social resources.

Common bile duct stoneLaparoscopyCholedochotomyOne-stage sutureT-tube drainage

刘臻、赵振坤、井全超

展开 >

高邮市中医医院外科,江苏扬州 225600

胆总管结石 腹腔镜 胆总管探查术 一期缝合 T管引流

江苏卫生健康职业学院科研项目

JKC2021070

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(2)
  • 16