腹腔镜胆总管探查术治疗复杂性肝胆管结石疗效的探讨.docVIP

腹腔镜胆总管探查术治疗复杂性肝胆管结石疗效的探讨 　　[摘要] 目的 研究?τ诟丛有愿蔚ü芙崾?患者使用腹腔镜胆总管探查术治疗的应用效果。方法 方便选取该院于2014年2月―2015年3月间收治的复杂性肝胆管结石80例患者，按照手术方法不同将其划分为对照组40例与干预组40例，对照组患者接受传统开腹胆总管治疗方法，干预组患者接受腹腔镜胆总管探查术治疗，比较两组患者手术用时、术中出血量、术后排气时间、住院时间及花费等，比较患者并发症发生率，比较患者生活质量评分。结果 对照组患者手术用时（209.24±36.41）min、术中出血量（86.15±16.28）mL、术后首次排气时间（27.05±5.01）h及住院时间（15.28±3.25）d、手术费用（8 949.25±431.23）元，干预组上述指标分别为（160.15±24.60）mm、（56.06±10.14）mL、（18.44±3.23）h、（10.08±2.01）d、（8 217.52±331.67）元，对照组上述用时均较长，干预组手术总费用较低（P0.05）。对照组患者术后并发症发生率为22.5%，干预组为7.5%，干预组发生率较低（P0.05）。对照组患者健康状态、症状改善及社会活动、日常生活能力、精神等指标评分均低于干预组（P0.05）。结论 该研究中，对肝胆管结石患者实施腹腔胆总管探查手术治疗取石，术后患者生活质量评分较好，机体恢复情况较为乐观，手术用时较短、且手术总体花费不高，患者术后并发症发生率较低。 　　[关键词] 腹腔镜；胆总管探查术；复杂性肝胆管结石；治疗效果；T管引流 　　[中图分类号] R657.4 [文献标识码] A [文章编号] 1674-0742（2017）01（c）-0042-03 　　Study on Curative Effect of Laparoscopic Common Bile Duct Exploration in Treatment of Complex Hepatobiliary Stone 　　WAN Shu-liang， LIANG Zhi-bo 　　Department of Hepatobiliary Surgery， PLA 252nd Hospital， Baoding， Hebei Province， 071000 China 　　[Abstract] Objective To research the application effect of laparoscopic common bile duct exploration in treatment of complex hepatobiliary stone. Methods 80 cases of patients with complex hepatobiliary stone admitted and treated in our hospital from February 2014 to March 2015 were convenient selected and divided into two groups with 40 cases in each according to the operation method， the control group were treated with traditional open common bile duct， while the intervention group were treated with laparoscopic common bile duct exploration， and the operative time， intraoperative bleeding， postoperative exhaustion， length of stay and expenses， incidence rate of complications and quality of life score of patients were summarized. Results The operative time， intraoperative bleeding amount， first postoperative exhaustion， length of stay and operative cost were respectively （209.24±36.41）min， （86.15±16.28）mL， （27.05±5.01）h， （15.28±3.25）d and （8 949.25±431.23）yuan in the control group， and