首页|钬激光联合腹腔镜胆道镜在肝胆管结石中的应用

钬激光联合腹腔镜胆道镜在肝胆管结石中的应用

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目的 分析在肝胆管结石患者的治疗过程中,采用钬激光联合腹腔镜胆道镜进行治疗的临床应用效果.方法 选取2019年5月—2023年5月本院收治的40例肝胆管结石患者为研究对象,并按随机抽样法将其分为对照组和观察组,每组20例.对照组采取传统取石钳取石,观察组采取钬激光联合腹腔镜胆道镜取石治疗.对比两组患者手术时间、术中出血量、住院时间、取石效果及并发症发生情况.结果 手术后,观察组患者的手术时间、术中出血量、住院时间都短于对照组,差异存在统计学意义(P<0.05);手术后,观察组患者结石残留率低于对照组,差异存在统计学意义(P<0.05);手术后,观察组患者并发症发生率低于对照组,差异存在统计学意义(P<0.05).结论 钬激光联合腹腔镜胆道镜治疗临床疗效良好,能缩短患者的手术时间和住院时间,减少患者术中的出血量,改善了患者生活质量,为胆管复杂结石、取石困难患者的治疗提供了一种高效、安全的选择.
Application of Holmium Laser Combined with Laparoscopic Choledochoscopy in Hepatolithiasis
Objective To analyze the clinical application effect of holmium laser combined with laparoscopic choledochoscopy in the treatment of patients with hepatolithiasis.Methods 40 patients with hepatolithiasis,including 24 males and 16 females,were enrolled in the Department of General Surgery of Liyang People's Hospital from May 2019 to May 2023.They were divided into control group and observation group by random sampling method,with 20 cases in each group.The control group was treated with traditional lithotomy forceps,while the observation group was treated with holmium laser combined with laparoscopic choledochoscopy.The operation time,intraoperative blood loss,hospital stay,lithotomy effect and complications were compared between the two groups.Results After operation,the operation time,intraoperative blood loss and hospital stay of observation group were shorter than those of control group,the difference was statistically significant(P<0.05).After operation,the stone residual rate in observation group was lower than that in control group,the difference was statistically significant(P<0.05);After operation,the complication rate of observation group was lower than that of control group,the difference was statistically significant(P<0.05);Conclusion Holmium laser combined with laparoscopic choledochoscopy has good clinical efficacy,which can improve the operation time,intraoperative blood loss,hospital stay,stone removal effect and complications of patients with hepatolithiasis.

Holmium laserLaparoscopic choledochoscopeHepatolithiasisComplications

路广、李小平、杨立成、张俊

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溧阳市人民医院 普外科,江苏 溧阳 213300

钬激光 腹腔镜胆道镜 肝胆管结石 并发症

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(2)
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