腹腔镜微创治疗肝胆结石的疗效观察分析

王红波

（凤翔县医院，陕西 宝鸡，721400）

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摘要：

目的 观察与分析腹腔镜微创治疗肝胆结石的临床疗效。方法 选取我院2013年11月至2016年5月收治的126例肝胆结石患者，将这些患者随机分为参照组与研究组，各63例，参照组患者给予传统开腹手术治疗，研究组患者采取腹腔镜微 创手术进行治疗，对两组患者的临床疗效进行观察与比较。结果 研究组患者的手术时间、住院时间、术中出血量及术后排气 时间均明显少于参照组（P<0.05）。参照组患者并发症发生率为14.29%，研究组患者并发症发生率为3.17%，研究组患者并发症发生率明显低于参照组（P<0.05）。结论 对肝胆结石患者采取腹腔镜微创手术进行治疗能够取得良好的临床疗效，不仅减少了手术给患者带来的创伤，还可降低患者并发症发生率，促进患者在术后的快速恢复，值得在今后的临床工作中进行大力推广与运用。

关键词：腹腔镜微创手术；肝胆结石；开腹手术

中图分类号：R657.4文献标志码：A文章编号：2096-1413(2017)12-0095-02

Clinical effect of laparoscopic minimally invasive in the treatment of liver and gallbladder stone
WANG Hong-bo
(Fengxiang County Hospital, Baoji 721400, China)

ABSTRACT: Objective To observe and analyze the clinical curative effect of laparoscopic minimally invasive in the treatment of liver and gallbladder stones. Methods One hundred and twenty-six cases of patients with liver and gallbladder stone in our hospital from November 2013 to May 2016 were selected and randomly divided into control group and study group, with 63 cases in each group. Patients in control group were given the traditional open surgery, and patients in study group were treated with laparoscopic minimally invasive surgery. The clinical curative effect of the two groups were compared. Results The operation time, hospitalization time, intraoperative blood loss, postoperative exhaust time of the study group were significantly less than those of the control group (P<0.05). Complication occurrence rate of the control group was 14.29%, and the study group was 3.17%, the differences in complications occurrence rates between two groups were statistically significant (P<0.05). Conclusion Laparoscopic minimally invasive surgery treatment can achieve good clinical curative effect in patients with liver and gallbladder stones, reduce the possibility of complications, promote the recovery of patients after surgery, which is worthy of promoting and application in the future clinical work.
KEYWORDS: laparoscopic minimally invasive surgery; liver and gallbladder stones; open surgery

参考文献：
[1] 黄名威,唐乾利,赫军,等.豚鼠胆汁酸盐输出泵(BSEP)基因克隆及其在胆结石豚鼠肝组织中的表达分析[J].基础医学与临床,2010,30(7):673-676.
[2] 周海成,李永梅,范永新,等.经胆道镜取石术与消炎利胆片治疗老年肝胆结石对患者血清Ins、C-P、HA水平的影响[J].临床合理用药 杂志,2015,8(10):38-39.
[3] 边兴花,曹文功,郝亮,等.联合麻醉下行胸腹腔镜微创手术治疗食管癌对患者肿瘤相关因子的影响[J].临床合理用药杂志,2016,9(1):131-132.
[4] 仝传志,阿吉木·阿不力克木.腹腔镜微创术式与Lichtenstein修补术治疗老年复发性腹股沟疝的临床对比观察[J].临床和实验医学杂志,2016,15(6):573-576.
[5] 汪昱,游红勇,刘东涛,等.腹腔镜微创远端胃癌D2根治术治疗老年胃癌的效果及其对免疫功能、低氧诱导因子-1α和结肠癌转移相关基因1表达的影响[J].中国医药导报,2016,13(8):21-24.
[6] 徐伟,王进峰,程瑞波,等.改良经皮经肝胆镜联合肝胆结石片用于肝胆结石对患者血清Ins、C-P、CA19-9水平的影响分析[J].大家健康学报,2016,10(5):72.
[7] 叶中瑞,朱成楚,叶加洪,等.胸、腹腔镜联合微创治疗食管癌的应用体会[J].腹腔镜外科杂志,2011,16(2):110-112.
[8] 赵舒霖,沈柏用,邓侠兴,等.肝脏肿瘤的微创治疗—从腹腔镜到机器人[J].中国普外基础与临床杂志,2012,19(7):697-703.
[9] 杨成林,别玉坤,贺永峰,等.微创保胆取石术与腹腔镜胆囊切除术治疗胆囊结石的疗效比较[J].安徽医学,2012,33(6):702-704.
[10] 范瑞芳,肖毅,任彦顺,等.腹腔镜联合胆道镜微创治疗老年人胆总管结石及胆囊结石的临床研究[J].西北国防医学杂志,2014(5):416-419.