腹腔镜治疗继发性胆总管结石的临床应用分析外科学专业论文.docxVIP

中文摘要 腹腔镜治疗继发性胆总管结石的临床应用分析 结 论： 1、针对不同情况、不同程度的胆总管结石患者，严格掌握手术适应症的情况 下LTCBDE是安全可靠，疗效确切，具有创伤最小、恢复快的术式，可作为 首选治疗方式。 2、LD+PS方案适应症较LTCBDE方案广泛，在解决术后胆漏并发症后将是主要 治疗方式。 3、LD+TD方案适应症最宽，但术后恢复慢、经济费用高，并有长期带管和T 管相关并发症。 关键词：腹腔镜；胆道镜；胆总管结石；胆囊管 研 究 生：周永平 导 师：郭子健教授 The clinical application of analysis of laparoscopic treatment of common bile duct stones Abstract The clinical application of analysis of laparoscopic treatment of common bile duct stones Abstract Objective： Comparison and analysis to evaluate the therapeutic effect and clinical applications of three different laparoscopic treatment of gallstones and biliary stones. Methods： Retrospective analysis of 127 cases of laparoscopic treatment of gallstones and biliary stones in the clinica data from April 2010 to August 2012 in the Second Peoples Hospital of Wuxi . Laparoscopic treatment options are divided into three, Group A: Laparoscopic common bile duct exploration via the cystic duct surgery (LTCBDE) group of 40 cases, Group B:laparoscopic choledochotomy combined with primary suture(LD+PS) group of 35 cases, Group C:laparoscopic choledochotomy combined with T tube drainage(LD+TD) group of 52 cases. Grouping of cases are in accordance with the indications to choose their own. Comparison of each group, postoperative hospitalization time, cost of hospitalization, abdominal drainage time, postoperative fluid volume, average operation time, postoperative gastrointestinal function recovery time, postoperative complications and postoperative hospitalization time. Results: The group C was significantly higher than that of the other two groups with postoperative hospitalization time, cost of hospitalization, abdominal drainage time, postoperative infusion,the difference was statistically significant (P0.05), there was Abstract The clinical application of analysis of laparoscopic treatment of common bile duct stones no statistically significant difference between group A and group B(P0.05),The average o